Steven Rapp, MD
Neurological Surgery · Waterford, MINPI 1073589446
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.1%), travel and lodging and entertainment — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by Innovasis Inc at 43.6% of the total. Reporting peaked in 2022 at $5,951 and has fallen 69.0% since, to $1,844 in 2025.
Across 210 payments — averaging $102.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Innovasis Inc$9K
- Spineology Inc.$3K
- Medtronic$2K
- Spine Wave, Inc.$2K
- Spinal Elements, Inc.$937
- Zimmer Biomet$615
- plus $4K from 31 others
What the payments were for
- Travel & lodging$9,62245%
- Food & beverage$11,88155%
- Entertainment$760%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Innovasis Inc | 35 | $9,415 |
| Spineology Inc. | 11 | $2,658 |
| Medtronic(2 entities) | 51 | $2,346 |
| Spine Wave, Inc. | 26 | $1,689 |
| Spinal Elements, Inc. | 9 | $937 |
| Zimmer Biomet | 5 | $615 |
| Saluda Medical Americas, Inc. | 7 | $450 |
| Surgentec | 1 | $429 |
| Intrinsic Therapeutics | 4 | $381 |
| Orthofix Medical, Inc. | 2 | $275 |
| Si-bone, Inc. | 2 | $245 |
| Baxter Healthcare | 7 | $206 |
| AbbVie(2 entities) | 8 | $177 |
| Johnson & Johnson | 1 | $129 |
| Merz Pharmaceuticals, LLC | 4 | $128 |
| Vertiflex, Inc. | 1 | $121 |
| Icotec Medical Inc. | 1 | $118 |
| Lifenet Health | 1 | $117 |
| Augmedics Inc. | 2 | $116 |
| Nevro Corp. | 6 | $116 |
| Aesculap, Inc. | 2 | $114 |
| Elevation Spine, Inc. | 1 | $105 |
| Livanova USA, Inc. | 4 | $102 |
| Centinel Spine, LLC | 1 | $102 |
| Boston Scientific | 4 | $87 |
| Camber Spine Technologies LLC | 1 | $73 |
| Globus Medical | 2 | $66 |
| Pacira Pharmaceuticals Incorporated | 2 | $49 |
| Medacta USA, Inc. | 1 | $39 |
| Stryker | 1 | $28 |
| Alphatec Spine, Inc | 1 | $27 |
| Mimedx Group, Inc. | 1 | $27 |
| Scilex Pharmaceuticals Inc. | 1 | $22 |
| Smith+Nephew | 1 | $21 |
| Lilly USA, LLC | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $18 |
| Strongbridge US Inc. | 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.
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$2,381
- Mobi-C$490
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$488
- INTELLIS ADAPTIVESTIM$456
- Spinal Implants$442
- Evoke$252
- KYPHON Balloon Kyphoplasty$230
- Medical Device$224
- M6-C Artificial Cervical Disc$147
- KYPHON EXPRESS II KYPHOPAK TRAY$142
- INTELLIS$134
- OSTEOCOOL RF ABLATION SYSTEM$132
- MAZOR X SYSTEM$130
- Teligen$129
- Spine & Trauma 3D Navigation$129
- M6-C$128
- iFuse Implant$123
- Accurian$122
- OSTEOCOOL RF ABLATION$121
- Superion ISS$121
How this compares
$21,579 in reported general payments places this provider in the 80th percentile of 256 neurological surgery providers in Michigan.
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 Waterford
- Aaron RappWaterford$29K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
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.