Visish Srinivasan, MD
Neurological Surgery · Houston, TXNPI 1053750489
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $94,263 of the $136,966 with a category attached, or 68.8%. 20 manufacturers reported payments, led by Stryker at 49.9% of the total. 2025 is the largest year on record at $65,988, more than ten times the $1,504 reported in 2019. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 272 payments — averaging $503.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$68K
- Medical Device Business Services, Inc.$48K
- Imperative Care, Inc$11K
- Qapel Medical Inc$3K
- Siemens Medical Solutions USA, Inc.$2K
- Rapid Medical Ltd$1K
- plus $3K from 14 others
Across 15 payments — averaging $11,326 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.
- Medical Device Business Services, Inc.$170K
What the payments were for
- Consulting fees$94,26369%
- Travel & lodging$32,08423%
- Food & beverage$9,2617%
- Education$1,3551%
- Gifts$40%
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 |
|---|---|---|
| Stryker | 87 | $68,397 |
| Medical Device Business Services, Inc. | 77 | $48,018 |
| Imperative Care, Inc | 28 | $11,214 |
| Qapel Medical Inc | 3 | $3,452 |
| Siemens Medical Solutions USA, Inc. | 28 | $1,632 |
| Rapid Medical Ltd | 12 | $1,245 |
| Penumbra, Inc. | 10 | $662 |
| Balt USA, LLC | 4 | $606 |
| Microvention, Inc. | 5 | $412 |
| Johnson & Johnson | 5 | $256 |
| Carl Zeiss Meditec USA, Inc. | 1 | $216 |
| Contego Medical, Inc | 2 | $201 |
| Medtronic | 3 | $177 |
| AstraZeneca | 1 | $118 |
| EMD Serono, Inc. | 1 | $89 |
| Phenox Inc. | 1 | $83 |
| BTG International Inc. | 1 | $67 |
| Spineology Inc. | 1 | $54 |
| Route 92 Medical, Inc. | 1 | $44 |
| Zimmer Biomet | 1 | $23 |
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.
- SURPASS EVOLVE$43,579
- EMBOGUARD$38,068
- SYNCHRO SELECT$15,655
- ZOOM 88-T LARGE DISTAL PLATFORM$10,582
- TRUFILL$5,825
- SPOTLIGHT$2,800
- Embotrap$2,466
- CEREPAK UNIFORM$2,362
- Pulsar Vascular PulseRider Aneurysm Neck Reconstruction Device$1,425
- PULSERIDER$1,356
- TIGERTRIEVER 17 REVASCULARIZATION DEVICE$877
- COMANECI 17$877
- EVOLVE$789
- TARGET$636
- UNIVERSAL NEURO 3$630
- NA$500
- Cerenovus Enterprise$494
- Optima Coil System$466
- WEB Aneurysm Embolization System$308
- NEUROFORM EZ 3$290
How this compares
$136,966 in reported general payments places this provider in the 90th percentile of 582 neurological surgery providers in Texas.
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 Houston
- Andrew RoeserHouston$660K
- Paul HolmanHouston$516K
- Taylor GistHouston$447K
- Meng HuangHouston$324K
- Laurence RhinesHouston$322K
- Omar TanweerHouston$254K
- Jeremy WangHouston$231K
- Alexander RopperHouston$208K
- Fangyi ZhangHouston$192K
- Ashwin ViswanathanHouston$185K
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.