RxDoctor Payments Data

Albert Fenoy, MD

Neurological Surgery · Humble, TXNPI 1184831984

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (53.3%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 93.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $44,840 and has fallen 53.8% since, to $20,721 in 2025. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$162,691in general payments, 2019–2025

Across 566 payments — averaging $287.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$152K
  • Insightec,inc$5K
  • Abbott$2K
  • Seaspine Orthopedics Corporation$2K
  • Si-bone, Inc.$616
  • Boston Scientific$478
  • plus $531 from 4 others
$58,780in research payments, 2019–2025

Across 3 payments — averaging $19,593 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.

  • Medtronic$59K

What the payments were for

  • Consulting fees$33,30020%
  • Speaking & faculty fees$86,78053%
  • Travel & lodging$18,09211%
  • Food & beverage$24,51915%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Medtronic(2 entities)458$151,678
Insightec,inc40$5,462
Abbott39$2,143
Seaspine Orthopedics Corporation12$1,784
Si-bone, Inc.6$616
Boston Scientific5$478
Baxter Healthcare2$204
Stryker2$138
Spinal Elements, Inc.1$137
Microtransponder, Inc.1$51

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.

How this compares

$162,691 in reported general payments places this provider in the 90th percentile of 582 neurological surgery providers in Texas.

See all neurological surgery providers in Texas

Medicare billing

Part B allowed, 2024
$177,830
Medicare patients
149
Services billed
318

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.

Other neurological surgery in Humble

See the full list for Texas

Where these figures come from

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