Sabareesh Natarajan
Neurological Surgery · la Mesa, CANPI 1912190083
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 74.3% of it on its own, with 20 other manufacturers making up the rest. 2025 is the largest year on record at $31,728, 5.7 times the $5,537 reported in 2019.
Across 168 payments — averaging $281.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$35K
- Globus Medical$4K
- Surgalign Spine Technologies, Inc.$3K
- Aesculap, Inc.$2K
- Microvention, Inc.$1K
- Integrity Implants Inc. Dba Accelus$508
- plus $2K from 15 others
What the payments were for
- Consulting fees$27,07557%
- Travel & lodging$11,61925%
- Food & beverage$8,55418%
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) | 98 | $35,108 |
| Globus Medical | 16 | $3,859 |
| Surgalign Spine Technologies, Inc. | 6 | $2,657 |
| Aesculap, Inc. | 15 | $1,760 |
| Microvention, Inc. | 13 | $1,023 |
| Integrity Implants Inc. Dba Accelus | 1 | $508 |
| Scientia Vascular | 1 | $463 |
| Precision Spine, Inc. | 1 | $238 |
| Synaptive Medical Inc. | 2 | $237 |
| Monteris Medical Corporation | 1 | $231 |
| AstraZeneca | 2 | $184 |
| Spinal Elements, Inc. | 1 | $177 |
| Spineology Inc. | 3 | $168 |
| Imperative Care, Inc | 1 | $130 |
| Centinel Spine, LLC | 1 | $125 |
| Icotec Medical Inc. | 1 | $123 |
| Omniscient Neurotechnology America Ltd | 1 | $118 |
| Siemens Medical Solutions USA, Inc. | 1 | $56 |
| Integra Lifesciences Corporation | 1 | $40 |
| Stryker | 1 | $25 |
| Orthofix Medical, 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.
- ARAI SURGICAL NAVIGATION SYSTEM$1,994
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$1,994
- SIMMETRY IMPLANT, 12.5MM X 50MM$1,994
- Excelsius - GPS$1,754
- FORTILINK CAGES WITH TIPLUS TECHNOLOGY$1,587
- YASARGIL ANEURYSM CLIPS$1,315
- ELSA ATP$1,195
- Covidien-Access$984
- MAZOR X SYSTEM$976
- StealthStation$790
- Mazor X Stealth Edition$513
- Aristotle Guidewire$463
- FORTILINK-A IBF SYSTEM$407
- TUBING KIT - STROKE$302
- SOFIA 6F-131CM STR$293
- ExcelsiusGPS Robotic Navigation System$262
- ELSA$244
- REFORM TI CT MODULAR MIS PEDICLE SCREW SYSTEM$238
- Neuroblate$231
- Streamline$230
How this compares
$47,248 in reported general payments places this provider in the 80th percentile of 773 neurological surgery providers in California.
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 la Mesa
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Samy AbdouSan Diego$2.4M
- Bret AbshireMurrieta$2.3M
- William TaylorSan Diego$2.1M
- Tooraj GravoriEncino$2M
- Ali MesiwalaRancho Cucamonga$1.5M
- Joseph OsorioSan Diego$1.3M
- Ian JohnsonFresno$1.3M
- Aaron Cohen-GadolLos Angeles$1.3M
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.