Medicare Enrolled
Dr. Henry Aryan, MD, FACS, FAANS
Neurological Surgery · Fresno, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Aryan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Aryan
Dr. Henry Aryan is a neurological surgery specialist in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Aryan performed 4,942 Medicare services across 3,952 unique beneficiaries.
Between the years covered by Open Payments, Dr. Aryan received a total of $83,297 from 18 pharmaceutical and/or device companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Aryan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 1% volume in CA
$83,297 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,942
Medicare services
Top 1% in CA for neurological surgery
3,952
Unique beneficiaries
$315
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~260 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
450 | $304 | $1,800 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
414 | $200 | $769 |
| Harvest of bone fragment for spine bone graft A surgical procedure to remove a piece of bone from the patient's body to be used as a graft during spine surgery. |
204 | $130 | $820 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
190 | $12 | $28 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
188 | $8 | $21 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
188 | $145 | $564 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
184 | $11 | $76 |
| Spinal cord or nerve release, single segment A surgical procedure to free the spinal cord or nerves at one specific level of the spine. |
178 | $249 | $953 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
178 | $44 | $163 |
| Additional spine bone segment removal Surgical removal of an additional segment of bone from the spine during the same procedure. |
173 | $281 | $1,087 |
| Lower spine bone segment removal A surgical procedure to cut into or remove a segment of bone from the lower spine. |
147 | $607 | $5,400 |
| Partial removal of spine bone to release spinal cord or nerves A surgical procedure involving the partial removal of bone from the spine. This is performed to relieve pressure on the spinal cord or nerves. |
143 | $477 | $6,200 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
141 | $78 | $363 |
| Spinal fusion with partial bone and disc removal A surgical procedure to join additional segments of the spine. It involves the partial removal of spine bone and disc tissue. |
136 | $374 | $1,476 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
127 | $444 | $5,000 |
| Release of lower spinal cord or nerves, single segment A surgical procedure to free the lower spinal cord or nerves from surrounding tissue at a single spinal level. |
121 | $593 | $4,495 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
118 | $1,394 | $5,587 |
| Spinal fusion exploration A surgical procedure to examine the site of a previous spinal fusion. The surgeon inspects the area to assess the status of the fusion and surrounding structures. |
107 | $332 | $2,506 |
| New patient office visit, complex (60-74 min) | 103 | $167 | $688 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 99 | $304 | $1,177 |
| Spinal fusion, upper back A surgical procedure to join two or more vertebrae in the upper back to eliminate motion between them. |
96 | $514 | $5,000 |
| Release of middle spinal cord or nerves, single segment A surgical procedure to release pressure on the spinal cord or nerves at a single segment of the spine. |
96 | $736 | $5,800 |
| Surgical removal of middle spine bone segment A surgical procedure to cut into or remove a segment of bone from the middle section of the spine. |
94 | $609 | $4,586 |
| Partial spine bone removal with nerve release, 1 interspace This procedure involves removing part of the spine bone, re-exploring the area, and releasing the lower spinal cord or nerves, along with removing a disc at one spinal level. |
82 | $519 | $5,000 |
| Removal of spinal stabilizing device Surgical removal of a segmental stabilizing device from the back of the spine. |
80 | $287 | $2,800 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
70 | $43 | $170 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
68 | $96 | $405 |
| Spinal stabilization device placement, 7-12 segments Surgical placement of a device to stabilize the back involving 7 to 12 spine bone segments. |
63 | $635 | $2,430 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
63 | $34 | $127 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
61 | $60 | $356 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
60 | $589 | $2,271 |
| Upper spine bone removal and disc removal A surgical procedure to remove a segment of bone from the upper spine and the disc located between the vertebrae. |
59 | $641 | $6,400 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
59 | $1,336 | $5,126 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
58 | $71 | $375 |
| Additional spinal bone removal and nerve release This procedure involves the additional removal of spine bone, re-exploration, release of spinal cord or nerves, and/or disc removal at each extra interspace. |
55 | $279 | $5,000 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
49 | $129 | $521 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
45 | $28 | $110 |
| Spinal stabilization device placement, 4-7 segments Surgical placement of a device to stabilize the front of the spine across four to seven bone segments. |
40 | $578 | $3,600 |
| MRI of lower spine with and without contrast An MRI scan of the lower spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
40 | $128 | $574 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
30 | $164 | $629 |
| Fusion of spine in lower back | 29 | $852 | $6,000 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
17 | $565 | $2,163 |
| Removal of anterior spinal stabilization device Surgical removal of a device used to stabilize the front of the spine. |
14 | $444 | $3,364 |
| Laminectomy, single segment, lateral approach Surgical removal of a section of the middle spine bone to relieve pressure on the spinal cord or nerves. The procedure is performed through a lateral extra-cavitary approach on a single spinal segment. |
13 | $1,720 | $6,963 |
| Spinal fusion, 1 level, with partial disc removal A surgical procedure to join two or more bones in the middle spine using one bone graft. The procedure involves accessing the spine from the side and partially removing a disc to facilitate the fusion. |
12 | $715 | $5,424 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
30.8% high complexity
9.9% medium
59.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$83,297
Total received (2018-2024)
Avg $13,883/year across 6 years
Top 12% in CA for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
40
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$50,261 (60.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$32,307 (38.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$729 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$208
2023
$7,105
2021
$195
2020
$7,982
2019
$13,225
2018
$54,582
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Saluda Medical Americas, Inc.
$152
Nevro Corp.
$31
Nalu Medical, Inc.
$25
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$41,920
Precision Spine, Inc.
$25,226
PRECISION SPINE, INC.
$7,982
Zavation Medical Products, LLC
$7,080
CoreLink, LLC
$299
Zimmer Biomet Holdings, Inc.
$217
Saluda Medical Americas, Inc.
$152
Zavation LLC
$142
Biedermann Motech, Inc.
$89
Nevro Corp.
$31
PAINTEQ LLC
$27
Medtronic, Inc.
$26
Nalu Medical, Inc.
$25
Abbott Laboratories
$25
Horizon Pharma plc
$16
Boston Scientific Corporation
$15
Vertiflex, Inc.
$15
SI-BONE, Inc.
$10
Top 3 companies account for 90.2% of all-time payments
Associated products mentioned in payments ›
ANCHOR C · DUEXIS · Evoke · GENERAL PAIN MANAGEMENT · INTELLIS · IVS - IVAS · MOSS VRS Spinal System · Nalu Neurostimulation System · PAINTEQ · PROCLAIM · Senza · Superion ISS · TPLIF CAGE · Vail · Whitney System · iFuse Implant
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Payments are distributed across multiple categories with no single dominant type.
Geographic Context
Neurological surgerists within 10 mi
26
Per 100K population
2.6
County median income
$71,434
Nearest hospital
SAINT AGNES MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Aryan is a mixed practice specialist, with above-average Medicare volume (top 1% in CA), with mixed engagement industry engagement in the top 12% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Aryan experienced with spinal fusion of additional segment?
Based on Medicare claims data, Dr. Aryan performed 450 spinal fusion of additional segment services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Aryan receive payments from pharmaceutical companies?
Yes. Dr. Aryan received a total of $83,297 from 18 companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Aryan's costs compare to other neurological surgerists in Fresno?
Dr. Aryan's average Medicare payment per service is $315. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Aryan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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