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Scott Leary, MD

Neurological Surgery · San Diego, CANPI 1417085978

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $265,647 of the $351,789 with a category attached, or 75.5%. 22 manufacturers reported payments, led by Medacta USA, Inc. at 35.6% of the total. 2025 is the largest year on record at $97,094, 3.2 times the $30,011 reported in 2019. 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.

$351,789in general payments, 2019–2025

Across 183 payments — averaging $1922.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medacta USA, Inc.$125K
  • Kyocera Medical Technologies, Inc.$118K
  • Aesculap Implant Systems, LLC$61K
  • Integrity Implants Inc.$23K
  • Surgalign Spine Technologies, Inc.$15K
  • Integrity Implants Inc. Dba Accelus$5K
  • plus $4K from 16 others

What the payments were for

  • Royalty or licence$265,64776%
  • Consulting fees$62,45018%
  • Travel & lodging$12,0593%
  • Food & beverage$11,4903%
  • Education$990%
  • Gifts$440%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Medacta USA, Inc.30$125,103
Kyocera Medical Technologies, Inc.18$118,389
Aesculap Implant Systems, LLC11$61,431
Integrity Implants Inc.65$22,600
Surgalign Spine Technologies, Inc.14$15,226
Integrity Implants Inc. Dba Accelus10$4,882
Arteriocyte Medical Systems, Inc.4$1,664
Xtant Medical Inc7$823
Centinel Spine, LLC4$469
Nexxt Spine LLC5$264
Innovasis Inc2$253
Cerapedics Inc.2$140
Si-bone, Inc.1$121
Woven Orthopedic Technologies, LLC1$120
Medical Device Business Services, Inc.1$101
Medtronic1$66
KCI USA, Inc.2$62
Portola Pharmaceuticals, LLC1$24
Smith+Nephew1$19
Aesculap, Inc.1$16
Pacira Pharmaceuticals Incorporated1$12
Biocomposites Inc1$4

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.

How this compares

$351,789 in reported general payments places this provider in the 95th percentile of 773 neurological surgery providers in California.

See all neurological surgery providers in California →

Medicare billing

Part B allowed, 2024
$456,830
Medicare patients
271
Services billed
2,008

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

DrugClaimsCost to plans & patients
Celecoxib64$2,837
Gabapentin88$609
Cyclobenzaprine Hcl15$299
Diclofenac Sodium15$287
Meloxicam34$94
Tizanidine Hcl13$55

Paid to pharmacies, not to this prescriber.

Other neurological surgery in San Diego

See the full list for California →

Where these figures come from

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