Neurological Surgery: industry payments
Drug and device makers reported $665,157,636 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 7,374
- Received a payment
- 7,357 (99.8%)
- Total reported
- $665.2M
- Average, those paid
- $90,412
The average is computed only over providers who received something, because including the 17 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays neurological surgery clinicians
Across 5,042 neurological surgery clinicians who billed Original Medicare Part B in 2024, Medicare allowed $695,324,821 in total — an average of $137,907 each, of which $137,497 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| Tennessee | 156 | $175,729,614 | $1,126,472 |
| Florida | 556 | $83,498,135 | $150,177 |
| California | 773 | $60,868,717 | $78,743 |
| Georgia | 201 | $42,977,352 | $213,818 |
| Arizona | 173 | $39,230,275 | $226,765 |
| North Carolina | 196 | $28,816,003 | $147,020 |
| New York | 446 | $24,355,051 | $54,608 |
| Texas | 582 | $23,281,688 | $40,003 |
| Pennsylvania | 390 | $22,979,322 | $58,921 |
| Illinois | 302 | $17,208,947 | $56,983 |
| Michigan | 256 | $12,709,427 | $49,646 |
| Maryland | 133 | $10,876,805 | $81,780 |
| Colorado | 149 | $10,075,960 | $67,624 |
| Ohio | 301 | $9,040,027 | $30,033 |
| Oklahoma | 80 | $7,809,671 | $97,621 |
| Massachusetts | 183 | $6,883,250 | $37,613 |
| Indiana | 112 | $6,564,330 | $58,610 |
| Kansas | 63 | $6,480,775 | $102,869 |
| Virginia | 156 | $6,201,641 | $39,754 |
| Louisiana | 116 | $6,160,708 | $53,110 |
| Missouri | 172 | $5,709,637 | $33,196 |
| Wyoming | 9 | $5,685,080 | $631,676 |
| Minnesota | 140 | $5,485,551 | $39,183 |
| Washington | 175 | $5,383,777 | $30,764 |
| New Jersey | 174 | $4,954,822 | $28,476 |
| Wisconsin | 133 | $4,834,658 | $36,351 |
| Nevada | 45 | $4,459,953 | $99,110 |
| Connecticut | 94 | $3,711,139 | $39,480 |
| South Carolina | 114 | $3,240,165 | $28,422 |
| Idaho | 43 | $3,034,499 | $70,570 |
| Utah | 75 | $2,942,404 | $39,232 |
| Kentucky | 99 | $1,827,479 | $18,459 |
| Montana | 31 | $1,734,132 | $55,940 |
| Oregon | 95 | $1,491,923 | $15,704 |
| Alabama | 97 | $1,438,411 | $14,829 |
| Arkansas | 64 | $1,414,721 | $22,105 |
| Hawaii | 16 | $832,629 | $52,039 |
| Rhode Island | 37 | $607,134 | $16,409 |
| Mississippi | 54 | $539,502 | $9,991 |
| New Hampshire | 32 | $531,933 | $16,623 |
| Delaware | 14 | $506,631 | $36,188 |
| West Virginia | 45 | $442,078 | $9,824 |
| North Dakota | 22 | $388,206 | $17,646 |
| District of Columbia | 31 | $380,496 | $12,274 |
| Iowa | 54 | $357,302 | $6,617 |
| Maine | 23 | $356,598 | $15,504 |
| Puerto Rico | 39 | $276,768 | $7,097 |
| South Dakota | 20 | $229,021 | $11,451 |
| New Mexico | 32 | $225,603 | $7,050 |
| Nebraska | 49 | $203,453 | $4,152 |
| Alaska | 14 | $160,529 | $11,466 |
| Guam | 2 | $10,900 | $5,450 |
| Vermont | 4 | $8,585 | $2,146 |
| AE | 1 | $91 | $91 |