Andrew Roeser, MD
Neurological Surgery · Houston, TXNPI 1295972305
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $538,213 of the $660,387 with a category attached, or 81.5%. Alphatec Spine, Inc accounts for 97.8% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $338,716, more than ten times the $31,976 reported in 2019. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 257 payments — averaging $2569.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$646K
- Globus Medical$13K
- Abbott$546
- Medtronic$170
- Nevro Corp.$149
- Si-bone, Inc.$122
- plus $357 from 5 others
What the payments were for
- Royalty or licence$538,21381%
- Consulting fees$90,11114%
- Travel & lodging$24,4614%
- Food & beverage$7,4911%
- Entertainment$1100%
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 |
|---|---|---|
| Alphatec Spine, Inc | 179 | $645,636 |
| Globus Medical(2 entities) | 54 | $13,407 |
| Abbott | 7 | $546 |
| Medtronic(2 entities) | 3 | $170 |
| Nevro Corp. | 2 | $149 |
| Si-bone, Inc. | 2 | $122 |
| Zimmer Biomet | 3 | $114 |
| Biotissue Holdings Inc. | 1 | $96 |
| Johnson & Johnson(2 entities) | 4 | $72 |
| KARL Storz Endoscopy-america | 1 | $61 |
| Biocomposites Inc | 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.
- Other - Miscellaneous$356,223
- Invictus MIS$291,377
- Battalion TLIF - PC$38,293
- LIF$10,752
- TLIF$9,875
- XLIF$9,198
- INVICTUS OPEN$7,108
- KODIAK$5,891
- IdentiTi$4,499
- Modulus$4,149
- XLX$2,000
- MULTIPLE$1,177
- Pulse$196
- Excelsius - GPS$147
- Porous Ti Cervical$141
- Proclaim IPG$134
- PRODIGY$132
- OCTRODE$130
- ETERNA$120
- Omnia$115
How this compares
$660,387 in reported general payments places this provider in the 95th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 104 | $1,560 |
| Methylprednisolone | 150 | $942 |
| Tizanidine Hcl | 122 | $913 |
| Gabapentin | 22 | $139 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $128 |
| Meloxicam | 15 | $37 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Houston
- Paul HolmanHouston$516K
- Taylor GistHouston$447K
- Meng HuangHouston$324K
- Laurence RhinesHouston$322K
- Omar TanweerHouston$254K
- Jeremy WangHouston$231K
- Alexander RopperHouston$208K
- Fangyi ZhangHouston$192K
- Ashwin ViswanathanHouston$185K
- Blake StaubHouston$171K
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.