Robert Hernandez, MD
Neurological Surgery · Lancaster, PANPI 1043552409
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $6,799 of the $10,153 with a category attached, or 67.0%. Medical Device Business Services, Inc. accounts for 72.5% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $4,398 and has fallen 97.7% since, to $100 in 2025.
Across 49 payments — averaging $207.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$7K
- Si-bone, Inc.$1K
- Globus Medical$728
- Stryker$306
- Johnson & Johnson$238
- Boston Scientific$220
- plus $279 from 5 others
What the payments were for
- Consulting fees$6,79967%
- Travel & lodging$1,48115%
- Food & beverage$1,87318%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 12 | $7,365 |
| Si-bone, Inc. | 8 | $1,017 |
| Globus Medical(2 entities) | 7 | $728 |
| Stryker | 2 | $306 |
| Johnson & Johnson | 7 | $238 |
| Boston Scientific | 5 | $220 |
| Biotronik NRO, Inc. | 1 | $106 |
| Baxter Healthcare | 1 | $87 |
| Viiv Healthcare Company | 3 | $45 |
| Medtronic | 2 | $27 |
| Orthofix Medical, Inc. | 1 | $13 |
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.
- CONDUIT$4,050
- Teligen$861
- ALIF$500
- BIO4$164
- TRITANIUM$142
- iFuse Implant$140
- Prospera$106
- Infinion 16$100
How this compares
$10,153 in reported general payments places this provider in the 70th percentile of 390 neurological surgery providers in Pennsylvania.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 49 | $170 |
| Tizanidine Hcl | 29 | $103 |
| Cephalexin | 23 | $31 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lancaster
- Amer SamdaniPhiladelphia$4.4M
- Steven FalowskiFountain Hill$3M
- Adam KanterPittsburgh$2.6M
- David OkonkwoPittsburgh$2.3M
- Brian JankowitzPhiladelphia$823K
- Gaurav JainWynnewood$599K
- Joshua HellerPhiladelphia$519K
- Srinivas PrasadPhiladelphia$513K
- Constantinos HadjipanayisPittsburgh$484K
- Oded GorenDanville$448K
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.