Brad Thomas, MD
Neurological Surgery · Little Rock, ARNPI 1003018748
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.5% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations.
Across 38 payments — averaging $80.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$670
- Cerapedics Inc.$533
- Nevro Corp.$417
- Providence Medical Technology, Inc.$344
- Midsouth Orthopedics Inc.$218
- Globus Medical$207
- plus $662 from 7 others
What the payments were for
- Food & beverage$3,00799%
- Gifts$441%
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 |
|---|---|---|
| Boston Scientific | 12 | $670 |
| Cerapedics Inc. | 5 | $533 |
| Nevro Corp. | 4 | $417 |
| Providence Medical Technology, Inc. | 2 | $344 |
| Midsouth Orthopedics Inc. | 2 | $218 |
| Globus Medical | 4 | $207 |
| Wenzel Spine, Inc. | 1 | $198 |
| Medtronic | 1 | $171 |
| Si-bone, Inc. | 1 | $147 |
| Integrity Implants Inc. | 1 | $44 |
| DJO, LLC | 2 | $41 |
| Baudax Bio Inc. | 2 | $31 |
| Stryker | 1 | $28 |
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
$3,052 in reported general payments places this provider in the 55th percentile of 64 neurological surgery providers in Arkansas.
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 |
|---|---|---|
| Doxycycline Hyclate | 191 | $2,293 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 214 | $1,808 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 233 | $1,589 |
| Tizanidine Hcl | 271 | $1,068 |
| Prednisone | 59 | $394 |
| Gabapentin | 49 | $389 |
| Methylprednisolone | 57 | $322 |
| Cyclobenzaprine Hcl | 36 | $225 |
| Pregabalin | 17 | $186 |
| Meloxicam | 48 | $180 |
| Dexamethasone | 15 | $104 |
| Tramadol Hcl | 38 | $75 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $72 |
| Famotidine | 14 | $8 |
| Lorazepam | 13 | $6 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Little Rock
- Erika PetersenLittle Rock$663K
- John DayLittle Rock$44K
- Dominic MaggioLittle Rock$34K
- Viktoras PalysLittle Rock$14K
- Analiz RodriguezLittle Rock$13K
- Gautam GandhiLittle Rock$11K
- Blake PhillipsLittle Rock$10K
- Hector Soriano-BaronLittle Rock$10K
- Deanna Sasaki AdamsLittle Rock$7K
- Bryan LieberLittle Rock$3K
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.