Zenko Hrynkiw, MD
Neurological Surgery · Birmingham, ALNPI 1780637348
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,105 of the $7,919 with a category attached, or 64.5%. 24 manufacturers reported payments, led by Globus Medical at 35.7% of the total. Reporting peaked in 2019 at $4,571 and has fallen 93.9% since, to $277 in 2025.
Across 164 payments — averaging $48.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$3K
- Medtronic$2K
- AbbVie$716
- Providence Medical Technology, Inc.$632
- Olympus America Inc.$574
- Spinal Elements, Inc.$370
- plus $1K from 18 others
What the payments were for
- Travel & lodging$2,74635%
- Food & beverage$5,10564%
- Education$340%
- Entertainment$330%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 28 | $2,830 |
| Medtronic(2 entities) | 30 | $1,733 |
| AbbVie | 38 | $716 |
| Providence Medical Technology, Inc. | 10 | $632 |
| Olympus America Inc. | 7 | $574 |
| Spinal Elements, Inc. | 5 | $370 |
| Boston Scientific | 11 | $232 |
| Baxter Healthcare | 8 | $202 |
| Medacta USA, Inc. | 2 | $107 |
| Arbor Pharmaceuticals, Inc. | 5 | $95 |
| Bioventus LLC | 3 | $81 |
| Zimmer Biomet | 2 | $54 |
| Johnson & Johnson | 1 | $42 |
| Kls-martin L.p. | 3 | $38 |
| Amgen | 1 | $35 |
| Osteomed LLC | 1 | $34 |
| Orthofix Medical, Inc. | 2 | $25 |
| Lemaitre Vascular, Inc. | 1 | $23 |
| Biotronik NRO, Inc. | 1 | $19 |
| Averitas Pharma Inc. | 1 | $17 |
| Convatec Inc. | 1 | $16 |
| UCB, Inc. | 1 | $16 |
| Integrity Implants Inc. | 1 | $15 |
| Sonex Health, Inc. | 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.
- MazorX - Renaissance$952
- Pulse$739
- VuePoint$714
- TLX$341
- Medical Device$258
- ALIF$148
- CD HORIZON$118
How this compares
$7,919 in reported general payments places this provider in the 75th percentile of 97 neurological surgery providers in Alabama.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 145 | $762 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 80 | $481 |
| Celecoxib | 24 | $292 |
| Cyclobenzaprine Hcl | 31 | $282 |
| Gabapentin | 29 | $198 |
| Methylprednisolone | 29 | $182 |
| Tramadol Hcl | 40 | $87 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Birmingham
- Mark HadleyBirmingham$104K
- Andrew ErwoodBirmingham$85K
- Marshall HollandBirmingham$81K
- Jakub GodzikBirmingham$56K
- Adnan ShahidBirmingham$50K
- Jasmine ThumBirmingham$39K
- Jessica BentleyBirmingham$27K
- John FiveashBirmingham$12K
- Joshua MenendezBirmingham$11K
- Arsalaan SalehaniBirmingham$8K
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.