Robert Starke, MD
Neurological Surgery · Miami, FLNPI 1821222712
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (40.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Penumbra, Inc. at 41.7% of the total. Among neurological surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 404 payments — averaging $747.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$126K
- Medtronic$117K
- Medical Device Business Services, Inc.$26K
- Balt USA, LLC$18K
- Microvention, Inc.$7K
- Abbott$4K
- plus $4K from 14 others
Across 234 payments — averaging $3222.37 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Balt USA, LLC$200K
- Medical Device Business Services, Inc.$199K
- Penumbra, Inc.$145K
- Medtronic$138K
- Stryker$48K
- Imperative Care, Inc$24K
What the payments were for
- Consulting fees$112,27637%
- Speaking & faculty fees$121,38740%
- Travel & lodging$50,55817%
- Food & beverage$17,6356%
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 |
|---|---|---|
| Penumbra, Inc. | 194 | $125,941 |
| Medtronic(3 entities) | 120 | $117,426 |
| Medical Device Business Services, Inc. | 22 | $26,258 |
| Balt USA, LLC | 15 | $18,008 |
| Microvention, Inc. | 6 | $6,962 |
| Abbott | 10 | $3,509 |
| Depuy Synthes Products, Inc. | 2 | $1,000 |
| Stryker | 12 | $809 |
| Ischemaview, Inc. | 1 | $400 |
| Johnson & Johnson(2 entities) | 10 | $368 |
| Imperative Care, Inc | 3 | $218 |
| Viz.ai, Inc. | 1 | $198 |
| Inari Medical, Inc. | 1 | $192 |
| Zimmer Biomet | 1 | $192 |
| Phenox Inc. | 1 | $145 |
| AstraZeneca | 1 | $122 |
| Siemens Medical Solutions USA, Inc. | 1 | $56 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Canon Medical Systems USA, Inc. | 1 | $17 |
| Microtransponder, Inc. | 1 | $16 |
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.
- Penumbra System$72,498
- Smart Coil$26,759
- Pipeline$17,956
- Optima Coil System$16,618
- Benchmark$8,865
- MATRIXNEURO$5,636
- Solitaire$5,483
- RED 72$5,079
- SYNTHECEL$4,879
- Indigo System$3,751
- Access Family$2,700
- EMBOGUARD$2,550
- ABSOLUTE PRO$2,000
- ONYX 18$1,375
- Artemis$1,302
- XACT$1,273
- SPOTLIGHT$1,000
- Jet 7$851
- WEB$719
- SURPASS EVOLVE$293
How this compares
$301,856 in reported general payments places this provider in the 90th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 27 | $290 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Miami
- Eric PetersonMiami$10.1M
- Michael WangMiami$2.2M
- Wilson AsforaMiami$1.3M
- Steven VanniMiami$1.1M
- Timur UrakovMiami$652K
- Samuel GoldsmitMiami$519K
- Ian CoteMiami$231K
- Michael IvanMiami$225K
- James GuestMiami$155K
- Stephen ParkerJacksonville$18.7M
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.