Vittorio Morreale, MD
Neurological Surgery · Shelby Twp, MINPI 1023106507
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $331,065 of the $439,387 with a category attached, or 75.3%. 29 manufacturers reported payments, led by Surgalign Spine Technologies, Inc. at 40.1% of the total. Reporting peaked in 2019 at $140,512 and has fallen 93.9% since, to $8,584 in 2025. Among neurological surgery clinicians in MI 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 166 payments — averaging $2646.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Surgalign Spine Technologies, Inc.$176K
- Spineart SA$159K
- Spineart USA Inc$58K
- Xtant Medical Inc$25K
- Spinal Elements, Inc.$17K
- Stryker$2K
- plus $2K from 23 others
Across 5 payments — averaging $1600.00 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.
- Spinal Elements, Inc.$6K
- Surgalign Spine Technologies, Inc.$2K
What the payments were for
- Royalty or licence$331,06575%
- Consulting fees$86,75020%
- Travel & lodging$13,9583%
- Food & beverage$7,5942%
- Education$200%
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 |
|---|---|---|
| Surgalign Spine Technologies, Inc. | 44 | $175,983 |
| Spineart SA | 14 | $158,909 |
| Spineart USA Inc | 17 | $58,286 |
| Xtant Medical Inc | 11 | $24,975 |
| Spinal Elements, Inc. | 21 | $16,997 |
| Stryker | 12 | $2,387 |
| Spineology Inc. | 4 | $495 |
| Cerapedics Inc. | 2 | $395 |
| Medtronic | 6 | $214 |
| Baxter Healthcare | 4 | $89 |
| Augmedics Inc. | 1 | $86 |
| Zimmer Biomet | 3 | $82 |
| Aesculap, Inc. | 4 | $59 |
| Providence Medical Technology, Inc. | 3 | $52 |
| Johnson & Johnson | 3 | $51 |
| Alphatec Spine, Inc | 2 | $46 |
| Kuros Biosciences USA, Inc | 2 | $42 |
| Arbor Pharmaceuticals, Inc. | 2 | $34 |
| Icotec Medical Inc. | 1 | $31 |
| Orthofix Medical, Inc. | 1 | $24 |
| Smith+Nephew | 1 | $23 |
| CSL Behring | 1 | $20 |
| Si-bone, Inc. | 1 | $18 |
| KCI USA, Inc. | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Sanara Medtech Inc. | 1 | $15 |
| Boston Scientific | 1 | $15 |
| Corelink, LLC | 1 | $13 |
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.
- FORTILINK-TS IBF SYSTEM$91,846
- Perla C Post$60,917
- NAVIGATION$34,391
- PERLA C - CERVICAL POSTERIOR FIXATION$32,506
- PERLA C$30,603
- FORTILINK-TS IBF SYSTEM WITH TETRAFUSE 3D TECHNOLOGY$23,705
- CERVALIGN ANTERIOR CERVICAL PLATE SYSTEM$17,453
- CervAlign Anterior Cervical Plate$17,150
- FORTILINK-C IBF SYSTEM$13,000
- Medical Devices$10,463
- FORTILINK-A IBF SYSTEM$9,750
- Medical Device$6,197
- Romeo 2$3,500
- STREAMLINE OCT SYSTEM$1,375
- ALLOGRAFT$1,228
- SPINEJACK$1,175
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$1,083
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$876
- AUTOPLEX$500
- SPINEPLEX$500
How this compares
$439,387 in reported general payments places this provider in the 95th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $228 |
| Methocarbamol | 22 | $215 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Shelby Twp
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
- Teck SooSouthfield$249K
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.