Srinivasan Purighalla, MD
Neurological Surgery · Silvis, ILNPI 1588643639
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $46,272 of the $51,679 with a category attached, or 89.5%. Spinal Elements, Inc. accounts for 62.9% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $14,416 and has fallen 91.3% since, to $1,251 in 2025.
Across 94 payments — averaging $549.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Elements, Inc.$32K
- Amendia, Inc.$14K
- Globus Medical$3K
- Medtronic$1K
- Monteris Medical Corporation$105
- Boston Scientific$93
- plus $379 from 12 others
Across 5 payments — averaging $387.71 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.
- Spinal Elements, Inc.$2K
What the payments were for
- Royalty or licence$46,27290%
- Travel & lodging$3,5207%
- Food & beverage$1,8874%
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 |
|---|---|---|
| Spinal Elements, Inc. | 12 | $32,499 |
| Amendia, Inc. | 4 | $13,773 |
| Globus Medical(2 entities) | 47 | $3,349 |
| Medtronic(2 entities) | 16 | $1,481 |
| Monteris Medical Corporation | 1 | $105 |
| Boston Scientific | 1 | $93 |
| Zimmer Biomet | 1 | $75 |
| Lemaitre Vascular, Inc. | 1 | $70 |
| Livanova USA, Inc. | 1 | $67 |
| UCB, Inc. | 2 | $35 |
| Si-bone, Inc. | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $21 |
| Abbott | 1 | $19 |
| Spineology Inc. | 1 | $17 |
| CPM Medical Consultants, LLC | 1 | $15 |
| Lilly USA, LLC | 1 | $13 |
| MDD US Operations, LLC | 1 | $12 |
| CTL Medical Corporation | 1 | $12 |
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.
- SAVCLOWN$21,931
- SAVTHT$13,773
- Savannah T$6,250
- Low Top Dual-Fix Flat Top Savannah-C$2,470
- OMEGALIF$1,848
- ExcelsiusGPS Robotic Navigation System$1,526
- Mazor X Stealth Edition$916
- Excelsius - GPS$211
- O-ARM-ST$136
- Neuroblate$105
How this compares
$51,679 in reported general payments places this provider in the 85th percentile of 302 neurological surgery providers in Illinois.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 88 | $813 |
| Pregabalin | 15 | $536 |
| Cyclobenzaprine Hcl | 67 | $442 |
| Gabapentin | 49 | $364 |
| Tizanidine Hcl | 35 | $322 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $301 |
| Cephalexin | 71 | $250 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Silvis
- Tyler KoskiChicago$2.3M
- Vincent TraynelisChicago$1.8M
- Sergey NeckryshChicago$1.6M
- Russell NockelsArlington Heights$1.4M
- Bruce FrankelSpringfield$1.3M
- Richard FesslerChicago$910K
- Julian BailesEvanston$666K
- John OtooleChicago$593K
- Patrick SugruePark Ridge$571K
- Melissa MaciasRockford$529K
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.