Vijay Yanamadala, MD
Neurological Surgery · Seattle, WANPI 1184986978
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (35.5%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Medtronic at 51.1% of the total. Reporting peaked in 2019 at $32,179 and has fallen 57.5% since, to $13,668 in 2025. Among neurological surgery clinicians in WA 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 117 payments — averaging $726.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$43K
- Hyhte Holdings Inc.$30K
- Medical Device Business Services, Inc.$6K
- Globus Medical$2K
- Medicrea USA, Corp.$1K
- Hikma Pharmaceuticals USA$421
- plus $1K from 7 others
Across 1 payment — averaging $1275.00 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.
- Medtronic$1K
What the payments were for
- Royalty or licence$30,18135%
- Consulting fees$12,87615%
- Speaking & faculty fees$28,94234%
- Travel & lodging$8,10810%
- Food & beverage$4,5315%
- Education$3920%
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) | 60 | $43,479 |
| Hyhte Holdings Inc. | 3 | $30,181 |
| Medical Device Business Services, Inc. | 11 | $6,250 |
| Globus Medical(2 entities) | 10 | $2,140 |
| Medicrea USA, Corp. | 7 | $1,137 |
| Hikma Pharmaceuticals USA | 1 | $421 |
| Stryker | 3 | $421 |
| Johnson & Johnson | 11 | $380 |
| Corelink, LLC | 1 | $183 |
| Boston Scientific | 4 | $168 |
| Si-bone, Inc. | 2 | $163 |
| Orthofix Medical, Inc. | 3 | $89 |
| DJO, LLC | 1 | $19 |
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.
- CD HORIZON$39,615
- El Capitan X$30,181
- VIPER$4,557
- CONDUIT$4,432
- EXPEDIUM$4,005
- Excelsius - GPS$1,336
- PASS-LP$1,072
- UNiD$1,072
- PIVOX Oblique Lateral Spinal System$843
- XLIF$636
- INFINITY OCT System$580
- SYMPHONY$427
- COMBOGESIC IV$421
- Nuvaline/NuvaMap O.R.$392
- CASCADIA$148
- EVEREST$148
- MAKO$141
- iFuse Implant$136
- TRITANIUM$131
- NAVIGATION$125
How this compares
$85,031 in reported general payments places this provider in the 95th percentile of 175 neurological surgery providers in Washington.
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 |
|---|---|---|
| Gabapentin | 29 | $282 |
| Cyclobenzaprine Hcl | 15 | $238 |
| Meloxicam | 14 | $41 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Seattle
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- Stephen MonteithSeattle$151K
- Jean-Christophe LevequeSeattle$120K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Bailey ZampellaSeattle$38K
- Melanie WalkerSeattle$38K
- Elias EliasSeattle$35K
- Ryder GwinnSeattle$35K
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.