Vikram Udani, MD
Neurological Surgery · San Diego, CANPI 1093959108
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $994,246 of the $1,102,964 with a category attached, or 90.1%. Globus Medical accounts for 76.1% of it on its own, with 29 other manufacturers making up the rest. 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.
Across 324 payments — averaging $3404.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$839K
- Precision Spine, Inc.$195K
- Aurora Spine, Inc.$23K
- Kyocera Medical Technologies, Inc.$16K
- Acumed LLC$8K
- Alphatec Spine, Inc$6K
- plus $15K from 24 others
What the payments were for
- Royalty or licence$994,24690%
- Consulting fees$93,6938%
- Speaking & faculty fees$2,9750%
- Travel & lodging$1,5520%
- Food & beverage$10,1561%
- Education$3430%
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 |
|---|---|---|
| Globus Medical | 40 | $839,117 |
| Precision Spine, Inc. | 57 | $194,753 |
| Aurora Spine, Inc. | 4 | $23,444 |
| Kyocera Medical Technologies, Inc. | 2 | $16,000 |
| Acumed LLC | 19 | $8,328 |
| Alphatec Spine, Inc | 10 | $6,497 |
| Intrinsic Therapeutics | 15 | $3,248 |
| Osteomed LLC | 10 | $2,304 |
| Spineart USA Inc | 1 | $1,500 |
| Nevro Corp. | 76 | $1,270 |
| Silony Medical Corp. | 1 | $1,200 |
| Medtronic(2 entities) | 28 | $1,165 |
| Abbott | 19 | $729 |
| Boston Scientific | 10 | $684 |
| Innovasis Inc | 2 | $584 |
| Centinel Spine, LLC | 5 | $395 |
| Si-bone, Inc. | 7 | $258 |
| Spinal Elements, Inc. | 2 | $227 |
| Aesculap, Inc. | 3 | $208 |
| Ulrich Medical USA, Inc. | 2 | $173 |
| Surgalign Spine Technologies, Inc. | 1 | $145 |
| Koh Young America, Inc. | 1 | $99 |
| Seaspine Orthopedics Corporation | 1 | $95 |
| 4web, Inc. | 1 | $95 |
| Painteq LLC | 1 | $90 |
| Spineology Inc. | 1 | $88 |
| Aesculap Implant Systems, LLC | 1 | $76 |
| Stryker | 1 | $71 |
| Zimmer Biomet | 2 | $60 |
| Integra Lifesciences Corporation | 1 | $58 |
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.
- Quartex$838,862
- REFORM TI MODULAR$158,308
- ZIP/SOLO-L$23,444
- OsteoMed$14,389
- ACIF 2C SYSTEM$7,000
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$6,409
- SLIMPLICITY HP$6,000
- ACIF 2C$5,000
- REFORM TI HA COATED PEDICLE SCREW SYSTEM$5,000
- Solus ALIF$4,250
- Vault C$2,657
- Reform Poct$2,500
- VAULT STAND ALONE ANTERIOR INTERBODY$2,500
- Other - Miscellaneous$2,500
- REFORM TI$1,500
- ANTERIOR CERVICAL PLATING$1,500
- NEURO-Neur$1,229
- IdentiTi$1,200
- POROUS TI$1,200
- Dakota ACDF System$1,117
How this compares
$1,102,964 in reported general payments places this provider in the 95th percentile of 773 neurological surgery providers in California.
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 |
|---|---|---|
| Tranexamic Acid | 14 | $825 |
| Cyclobenzaprine Hcl | 27 | $308 |
| Gabapentin | 15 | $209 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $204 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $164 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in San Diego
- Samy AbdouSan Diego$2.4M
- William TaylorSan Diego$2.1M
- Joseph OsorioSan Diego$1.3M
- Arash Khalessi-HosseiniSan Diego$897K
- Alois ZaunerSan Diego$558K
- Scott LearySan Diego$352K
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Bret AbshireMurrieta$2.3M
- Tooraj GravoriEncino$2M
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.