Perla Tl Mis
Payments companies reported to CMS as associated with Perla Tl Mis. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Perla Tl Mis, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Perla Tl Mis
These are the largest totals companies reported as associated with Perla Tl Mis. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Jason Huffman | Napa, CA | Orthopaedic Surgery of The Spine | $365.66 |
| Federico Castro-Moure | Redding, CA | Neurological Surgery | $349.47 |
| Atul Patel | Fairfield, CA | Neurological Surgery | $299.92 |
| Kelvin Wilson | Gainesville, FL | Neurological Surgery | $278.72 |
| David Nelles | Concord, CA | Orthopaedic Surgery of The Spine | $259.39 |
| Joseph Lombardi | New York, NY | Orthopaedic Surgery | $237.56 |
| Alan Mcgee | Fort Wayne, IN | Orthopaedic Surgery | $229.38 |
| Jianghui Zhang | San Francisco, CA | Orthopaedic Surgery | $215.61 |
| Valentine Nduku | Fort Pierce, FL | Neurological Surgery | $188.54 |
| Brian Su | Larkspur, CA | Orthopaedic Surgery of The Spine | $176.72 |
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.