Andrew Losiniecki, MD
Neurological Surgery · South Bend, INNPI 1750592051
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,974 of the $2,934 with a category attached, or 67.3%. Globus Medical accounts for 81.8% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $1,055 and has fallen 77.1% since, to $242 in 2025. That places this record below the midpoint for neurological surgery clinicians in IN, where the typical reported total is $3,940.
Across 103 payments — averaging $28.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Carlsmed, Inc.$139
- Abbott$117
- Seaspine Orthopedics Corporation$86
- Stryker$68
- Nevro Corp.$65
- plus $58 from 3 others
What the payments were for
- Travel & lodging$96133%
- Food & beverage$1,97467%
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 | 87 | $2,401 |
| Carlsmed, Inc. | 3 | $139 |
| Abbott | 6 | $117 |
| Seaspine Orthopedics Corporation | 1 | $86 |
| Stryker | 1 | $68 |
| Nevro Corp. | 2 | $65 |
| Spineology Inc. | 1 | $28 |
| Zimmer Biomet | 1 | $17 |
| Merck | 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.
How this compares
$2,934 in reported general payments places this provider in the 40th percentile of 112 neurological surgery providers in Indiana.
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 |
|---|---|---|
| Tizanidine Hcl | 199 | $2,255 |
| Diclofenac Sodium | 59 | $1,419 |
| Methocarbamol | 119 | $1,270 |
| Gabapentin | 74 | $758 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 98 | $664 |
| Methylprednisolone | 65 | $398 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $323 |
| Pregabalin | 17 | $312 |
| Tramadol Hcl | 60 | $205 |
| Baclofen | 16 | $132 |
| Cyclobenzaprine Hcl | 19 | $123 |
| Diazepam | 59 | $99 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in South Bend
- Daniel FulkersonSouth Bend$92K
- Richard FesslerSouth Bend$33K
- Stephen SmithSouth Bend$31K
- Walter LangheinrichSouth Bend$16K
- Neal PatelSouth Bend$12K
- Osmond WuSouth Bend$6K
- Jean-Pierre MobasserCarmel$3.5M
- Troy PaynerCarmel$803K
- Michael TurnerIndianapolis$522K
- Eric PottsCarmel$345K
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.