Ankur Khosla, MD
Interventional Pain Medicine · Shenandoah, TXNPI 1861760985
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (32.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Abbott at 28.5% of the total. 2025 is the largest year on record at $69,467, more than ten times the $5,938 reported in 2019. Among interventional pain medicine 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 1,034 payments — averaging $267.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$79K
- Surgentec$71K
- Spinal Simplicity, LLC$54K
- Averitas Pharma Inc.$31K
- Boston Scientific$19K
- Painteq LLC$4K
- plus $19K from 36 others
Across 6 payments — averaging $39,000 each. An ownership or investment interest held by the physician or an immediate family member.
- Spinal Simplicity, LLC$234K
What the payments were for
- Royalty or licence$30,72611%
- Consulting fees$90,25433%
- Speaking & faculty fees$78,96829%
- Travel & lodging$39,36014%
- Food & beverage$31,54211%
- Education$6,1492%
- Entertainment$770%
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.
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.
- PROCLAIM$61,012
- TiLink$60,797
- HA MINUTEMAN G3-R$52,218
- Qutenza$32,455
- ION$11,784
- SUPERION$10,672
- ION Facet Screw System$8,822
- GENERAL PAIN MANAGEMENT$6,897
- Proclaim IPG$5,910
- 3D GraftRasp System$5,663
- ION Facet Screw$4,313
- PAINTEQ$3,451
- Intracept$2,185
- Proclaim Family of SCS IPGs$2,000
- iFuse Implant$1,610
- INTELLIS$1,198
- Superion ISS$1,122
- Senza Spinal Cord Stimulation System$1,075
- mild Device Kit$1,007
- Neuromodulation Dspsbls and Accs$992
How this compares
$277,076 in reported general payments places this provider in the 95th percentile of 287 interventional pain medicine 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 |
|---|---|---|
| Diclofenac Potassium | 38 | $61,478 |
| Cephalexin | 226 | $4,689 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 297 | $2,939 |
| Tizanidine Hcl | 420 | $1,514 |
| Gabapentin | 176 | $1,350 |
| Diclofenac Sodium | 22 | $341 |
| Cyclobenzaprine Hcl | 42 | $213 |
| Clindamycin Hcl | 12 | $88 |
| Tramadol Hcl | 17 | $84 |
| Meloxicam | 39 | $83 |
| Methylprednisolone | 12 | $67 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Shenandoah
- Thomas WhiteShenandoah$118K
- Gabor RaczLubbock$3M
- Pankaj MehtaKilleen$2.1M
- Chad StephensSouthlake$1M
- Brian RichDecatur$245K
- Brian BruelHouston$219K
- Bolkar SahinlerLubbock$188K
- Timothy RatinoFort Worth$139K
- Genaro GutierrezAustin$125K
- Alan SilberbergKyle$112K
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.