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.
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
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
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 |
|---|---|---|
| Spineology Inc. | 21 | $19,342 |
| Alphatec Spine, Inc | 11 | $3,353 |
| Corelink, LLC | 11 | $2,000 |
| Si-bone, Inc. | 19 | $1,879 |
| Boston Scientific | 27 | $1,711 |
| Aesculap Implant Systems, LLC | 6 | $1,659 |
| Globus Medical | 12 | $1,507 |
| Spinal Simplicity, LLC | 3 | $1,291 |
| Wenzel Spine, Inc. | 4 | $1,192 |
| Orthofix Medical, Inc. | 2 | $183 |
| Relievant Medsystems, Inc. | 1 | $93 |
| Cerapedics Inc. | 2 | $52 |
| Johnson & Johnson | 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.
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$19,277
- Other - Miscellaneous$3,253
- ACTIVL$1,622
- LIBERTY SI$1,200
- Promalok$824
- WAVEWRITER ALPHA$589
- primaLOK$436
- Varilift$368
- CLINICAL TRIAL PRODUCT$150
- WaveWriter Alpha Prime 16$147
- Senza$110
- M6-C$107
How this compares
$34,276 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Naloxone Hcl | 35 | $2,563 |
| Gabapentin | 175 | $1,294 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 65 | $883 |
| Cyclobenzaprine Hcl | 107 | $663 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $372 |
| Promethazine Hcl | 77 | $324 |
| Cephalexin | 79 | $305 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 45 | $225 |
| Tramadol Hcl | 73 | $224 |
| Methylprednisolone | 28 | $187 |
| Tizanidine Hcl | 17 | $152 |
| Meloxicam | 14 | $108 |
| Clindamycin Hcl | 17 | $61 |
| Alprazolam | 22 | $14 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Little Rock
- Erika PetersenLittle Rock$663K
- John DayLittle Rock$44K
- 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
- Brad ThomasLittle Rock$3K
- 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.