Ryan Kochanski, MD
Neurological Surgery · San Antonio, TXNPI 1568809622
Payments from drug & device makers
Across 144 payments — averaging $240.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$27K
- Clearpoint Neuro, Inc.$2K
- Brainlab, Inc.$1K
- Boston Scientific$1K
- Abbott$537
- AbbVie$337
- plus $3K from 24 others
What the payments were for
- Grants$25,00072%
- Travel & lodging$2,1756%
- Food & beverage$7,17321%
- Education$3201%
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 |
|---|---|---|
| Medtronic(2 entities) | 47 | $27,031 |
| Clearpoint Neuro, Inc. | 4 | $1,768 |
| Brainlab, Inc. | 7 | $1,438 |
| Boston Scientific | 25 | $1,031 |
| Abbott | 6 | $537 |
| AbbVie | 10 | $337 |
| Medical Device Business Services, Inc. | 2 | $320 |
| Providence Medical Technology, Inc. | 2 | $312 |
| Cerapedics Inc. | 2 | $240 |
| Johnson & Johnson(2 entities) | 2 | $212 |
| Intrinsic Therapeutics | 2 | $167 |
| Insightec,inc | 1 | $159 |
| Stryker | 1 | $138 |
| Kuros Biosciences USA, Inc | 1 | $127 |
| MML US, Inc. | 1 | $116 |
| Zimmer Biomet | 1 | $107 |
| Livanova USA, Inc. | 5 | $98 |
| UCB, Inc. | 4 | $91 |
| Grifols USA, LLC | 4 | $65 |
| Globus Medical | 3 | $61 |
| Si-bone, Inc. | 3 | $59 |
| Integra Lifesciences Corporation | 1 | $36 |
| GE HealthCare | 2 | $36 |
| Monteris Medical Corporation | 1 | $33 |
| Teva Pharmaceuticals USA, Inc. | 2 | $30 |
| Argenx US, Inc. | 1 | $29 |
| Neurelis, Inc. | 1 | $25 |
| Neuropace, Inc. | 1 | $23 |
| AstraZeneca | 1 | $22 |
| Davol Inc. | 1 | $20 |
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.
- ACTIVA$25,000
- CLEARPOINT$1,768
- Image Guided Surgical Device$1,342
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$280
- GENERAL DBS$220
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$210
- INFINITY$168
- Exablate$159
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$148
- VERCISE$145
- OSTEOCOOL RF ABLATION SYSTEM$145
- ES2$138
- TRITANIUM$138
- AQUAMANTYS$129
- MagnetOs$127
- UBRELVY$122
- ACF$121
- KYPHON EXPRESS II KYPHOPAK TRAY$118
- ReActiv8$116
- Vitality Power$107
How this compares
$34,668 in reported general payments places this provider in the 75th percentile of 582 neurological surgery providers in Texas.
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 San Antonio
- Arnold VardimanSan Antonio$698K
- Donald AtkinsSan Antonio$239K
- John DormanOdessa$8.5M
- Daniel PetersonAustin$5.8M
- Daniel CurryHouston$3M
- Peter KanGalveston$1.8M
- Mirza BaigShenandoah$1.6M
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
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.