Vijay Agarwal, MD
Neurological Surgery · Rochester, MNNPI 1902123128
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $84,680 of the $100,870 with a category attached, or 83.9%. Medtronic accounts for 95.9% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $38,318 and has fallen 98.1% since, to $732 in 2025. Among neurological surgery clinicians in MN 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 168 payments — averaging $600.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$97K
- GT Medical Technologies, Inc$1K
- Synaptive Medical Inc.$634
- Acclarent, Inc$556
- Omniscient Neurotechnology America Ltd$400
- Stryker$325
- plus $1K from 11 others
What the payments were for
- Speaking & faculty fees$84,68084%
- Travel & lodging$9,1579%
- Food & beverage$7,0337%
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) | 123 | $96,764 |
| GT Medical Technologies, Inc | 8 | $1,036 |
| Synaptive Medical Inc. | 3 | $634 |
| Acclarent, Inc | 5 | $556 |
| Omniscient Neurotechnology America Ltd | 1 | $400 |
| Stryker | 5 | $325 |
| Mizuho America, Inc. | 2 | $246 |
| Boston Scientific | 8 | $209 |
| NX Development Corp. | 1 | $206 |
| Microvention, Inc. | 2 | $200 |
| Globus Medical | 2 | $88 |
| Johnson & Johnson | 1 | $67 |
| Novocure Inc. | 2 | $41 |
| Agile Therapeutics, Inc. | 2 | $38 |
| Livanova USA, Inc. | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $23 |
| KARL Storz Endoscopy-america | 1 | $15 |
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.
- MIDAS REX$53,649
- STEALTHSTATION S8 PLATFORM$38,585
- StealthStation$990
- GammaTile$861
- Brightmatter Guide V$634
- TruDi Nav Cable$486
- Quicktome$400
- AQUAMANTYS$227
- FUSION$222
- Gleolan$206
- STENT$166
- MAZOR X SYSTEM$109
- ADHERUS AUTOSPRAY DURAL SEALANT$100
- CUSTOM IMPLANTS$100
- ADHERUS AUTOSPRAY ET DURAL SEALANT$100
How this compares
$100,870 in reported general payments places this provider in the 95th percentile of 140 neurological surgery providers in Minnesota.
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 Rochester
- Kendall LeeRochester$2.3M
- Benjamin ElderRochester$69K
- Michelle ClarkeRochester$53K
- Jeremy FogelsonRochester$40K
- Giuseppe LanzinoRochester$37K
- Daniela StastnaRochester$10K
- Robert SpinnerRochester$9K
- Rushna AliRochester$8K
- Nikita LakomkinRochester$8K
- Ken PorcheRochester$7K
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.