Arnold Vardiman, MD
Neurological Surgery · San Antonio, TXNPI 1346241817
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (59.8%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Globus Medical accounts for 91.4% of it on its own, with 17 other manufacturers making up the rest. 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 531 payments — averaging $1293.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$628K
- Medtronic$42K
- Abbott$16K
- Boston Scientific$517
- Nevro Corp.$268
- UCB, Inc.$162
- plus $569 from 12 others
Across 10 payments — averaging $5684.10 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.
- Globus Medical$57K
What the payments were for
- Royalty or licence$410,67960%
- Consulting fees$93,10114%
- Speaking & faculty fees$157,31823%
- Travel & lodging$18,2103%
- Food & beverage$7,6571%
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 | 204 | $627,768 |
| Medtronic(2 entities) | 172 | $42,010 |
| Abbott | 96 | $15,671 |
| Boston Scientific | 16 | $517 |
| Nevro Corp. | 16 | $268 |
| UCB, Inc. | 8 | $162 |
| Providence Medical Technology, Inc. | 1 | $140 |
| Orthofix Medical, Inc. | 4 | $78 |
| Si-bone, Inc. | 3 | $62 |
| Saluda Medical Americas, Inc. | 1 | $54 |
| Baxter Healthcare | 1 | $48 |
| AstraZeneca | 2 | $46 |
| Zimmer Biomet | 1 | $35 |
| Arteriocyte Medical Systems, Inc. | 2 | $26 |
| Convatec Inc. | 1 | $24 |
| GE HealthCare | 1 | $24 |
| Davol Inc. | 1 | $17 |
| Heron Therapeutics, Inc. | 1 | $14 |
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.
- CREO$168,427
- CREO ONE Robotic Screw$115,585
- Excelsius - GPS$100,935
- ExcelsiusGPS Robotic Navigation System$70,101
- EXCELSIUS$40,594
- CREO Threaded$21,135
- ELLIPSE$20,725
- HAVEN$19,590
- ACTIVA$16,961
- CRANIAL$16,364
- CREO Self Drilling Screw$14,400
- ELLIPSE OCCIPITAL (Royalty)$11,778
- StealthStation$9,102
- Infinity DBS Pulse Generators$8,060
- Excelsius Robotics System$8,023
- MazorX - Renaissance$7,500
- Ensite Cardiac Mapping System$4,505
- NEXFRAME$3,980
- ELLIPSE Addition -C$3,151
- SCS leads$2,124
How this compares
$686,964 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 | 47 | $620 |
| Gabapentin | 58 | $513 |
| Methocarbamol | 65 | $481 |
| Levetiracetam | 27 | $283 |
| Pregabalin | 21 | $219 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $193 |
| Tramadol Hcl | 20 | $69 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in San Antonio
- Donald AtkinsSan Antonio$239K
- George GalvanSan Antonio$83K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$792K
- Andrew RoeserHouston$660K
- Scott RobertsonRound Rock$606K
- Sabatino BiancoArlington$564K
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.