Richard Garling, MD
Neurological Surgery · Detroit, MINPI 1841639986
Payments from drug & device makers
Across 55 payments — averaging $161.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bioventus LLC$3K
- Si-bone, Inc.$2K
- Medtronic$1K
- Stryker$1K
- CSL Behring$246
- Orthofix Medical, Inc.$170
- plus $545 from 9 others
What the payments were for
- Consulting fees$4,35049%
- Travel & lodging$2,42127%
- Food & beverage$2,13724%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Bioventus LLC | 4 | $3,235 |
| Si-bone, Inc. | 18 | $2,108 |
| Medtronic | 13 | $1,379 |
| Stryker | 3 | $1,225 |
| CSL Behring | 2 | $246 |
| Orthofix Medical, Inc. | 2 | $170 |
| Microvention, Inc. | 2 | $128 |
| Genentech USA, Inc. | 1 | $103 |
| Brainlab, Inc. | 1 | $86 |
| Integra Lifesciences Corporation | 2 | $64 |
| Polynovo North America LLC | 2 | $45 |
| Smith+Nephew | 2 | $44 |
| Misonix Inc | 1 | $34 |
| Baxter Healthcare | 1 | $24 |
| Mimedx Group, Inc. | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- BONESCALPEL & SONICONE (O.R.)$3,125
- iFuse Implant$1,572
- Kcentra$246
- Trinity Evolution$154
- VersaShield$154
- Trinity ELITE$154
- Collage Osteoconductive Scaffold$154
- AlloQuent Structural Allograft$154
- Activase$103
How this compares
$8,908 in reported general payments places this provider in the 65th percentile of 256 neurological surgery providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other neurological surgery in Detroit
- Azam BasheerDetroit$432K
- Sonia EdenDetroit$407K
- Victor ChangDetroit$206K
- Gary RajahDetroit$179K
- Adam RobinDetroit$144K
- Murali GuthikondaDetroit$126K
- Jason SchwalbDetroit$117K
- Mokbel ChedidDetroit$83K
- Marc MoisiDetroit$64K
- Jack RockDetroit$48K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.