RxDoctor Payments Data

Dominic Maggio, MD

Neurological Surgery · Little Rock, ARNPI 1043654338

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (48.4%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Spineology Inc. at 56.4% of the total. Reporting peaked in 2024 at $20,626 and has fallen 78.1% since, to $4,527 in 2025. Among neurological surgery clinicians in AR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$34,276in general payments, 2019–2025

Across 120 payments — averaging $285.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Spineology Inc.$19K
  • Alphatec Spine, Inc$3K
  • Corelink, LLC$2K
  • Si-bone, Inc.$2K
  • Boston Scientific$2K
  • Aesculap Implant Systems, LLC$2K
  • plus $4K from 7 others
$73in ownership & investment interests, 2019–2025

Across 1 payment — averaging $72.77 each. An ownership or investment interest held by the physician or an immediate family member.

  • Spinal Simplicity, LLC$73

What the payments were for

  • Consulting fees$7,50022%
  • Speaking & faculty fees$2,2507%
  • Travel & lodging$16,60548%
  • Food & beverage$6,72120%
  • Education$1,2004%

General payments by program year

21
22
23
24
25

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.

How this compares

$34,276 in reported general payments places this provider in the 90th percentile of 64 neurological surgery providers in Arkansas.

See all neurological surgery providers in Arkansas

Medicare billing

Part B allowed, 2024
$286,048
Medicare patients
373
Services billed
1,812

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

DrugClaimsCost to plans & patients
Naloxone Hcl35$2,563
Gabapentin175$1,294
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen65$883
Cyclobenzaprine Hcl107$663
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen23$372
Promethazine Hcl77$324
Cephalexin79$305
Acetaminophen-CodeineAcetaminophen With Codeine45$225
Tramadol Hcl73$224
Methylprednisolone28$187
Tizanidine Hcl17$152
Meloxicam14$108
Clindamycin Hcl17$61
Alprazolam22$14

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Little Rock

See the full list for Arkansas

Where these figures come from

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