Sandeep Kunwar, MD
Neurological Surgery · Fremont, CANPI 1508807462
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $389,623 of the $460,521 with a category attached, or 84.6%. Spine Wave, Inc. accounts for 68.4% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2020 at $195,860 and has fallen 99.1% since, to $1,676 in 2025. Among neurological surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 175 payments — averaging $2631.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spine Wave, Inc.$315K
- Globus Medical$59K
- Spineology Inc.$44K
- Benvenue Medical Inc$16K
- Zimvie Inc.$12K
- Zimmer Biomet$7K
- plus $8K from 11 others
Across 6 payments — averaging $2535.83 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.
- Spineology Inc.$15K
Across 6 payments — averaging $13,483 each. An ownership or investment interest held by the physician or an immediate family member.
- Providence Medical Technology, Inc.$81K
What the payments were for
- Royalty or licence$389,62385%
- Consulting fees$47,82510%
- Speaking & faculty fees$5,6881%
- Travel & lodging$12,3473%
- Food & beverage$4,8751%
- Entertainment$1640%
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 |
|---|---|---|
| Spine Wave, Inc. | 31 | $315,027 |
| Globus Medical(2 entities) | 19 | $59,011 |
| Spineology Inc. | 14 | $43,943 |
| Benvenue Medical Inc | 24 | $16,265 |
| Zimvie Inc. | 27 | $11,552 |
| Zimmer Biomet | 12 | $7,025 |
| Spineart USA Inc | 9 | $2,108 |
| Clearpoint Neuro, Inc. | 2 | $1,761 |
| Medtronic | 13 | $1,429 |
| Highridge Medical LLC | 8 | $996 |
| Spinal Elements, Inc. | 8 | $963 |
| Brainlab, Inc. | 2 | $151 |
| Johnson & Johnson | 2 | $141 |
| Telix Pharmaceuticals | 1 | $83 |
| Medical Device Business Services, Inc. | 1 | $30 |
| Sanara Medtech Inc. | 1 | $25 |
| Kuros Biosciences USA, 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.
- Spinal Implants$123,911
- MaXcess$52,283
- Rampart Duo Interbody Fusion System$43,474
- PARAMOUNT ANTERIOR CERVICAL SPINE SYSTEM$25,686
- Kiva VCF Treatment System$16,210
- Blazer Vertebral Augmentation Kit$16,210
- MaXcess-C$14,824
- Timberline$6,911
- Timberline MPF$6,000
- PD-Spine-New Product$4,822
- Vital$4,200
- TLIF$3,301
- CLEARPOINT$1,761
- PERLA C$1,638
- Mobi-C$1,441
- STEALTH AUTOGUIDE SYSTEM$1,042
- Medical Device$799
- Virage$767
- ExcelsiusGPS Robotic Navigation System$543
- TIMBERLINE MPF LATERAL MODULAR PLATE FIXATION SYSTEM$410
How this compares
$460,521 in reported general payments places this provider in the 95th 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 Fremont
- 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.