Francis Farhadi, MD
Neurological Surgery · Lexington, KYNPI 1992968606
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,903 of the $2,418 with a category attached, or 78.7%. Synthes GmbH accounts for 78.7% of it on its own, with 4 other manufacturers making up the rest. 2024 is the largest year on record at $1,957, 9.6 times the $204 reported in 2019. That places this record below the midpoint for neurological surgery clinicians in KY, where the typical reported total is $3,068.
Across 11 payments — averaging $219.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$2K
- Johnson & Johnson$288
- Globus Medical$131
- Medical Device Business Services, Inc.$72
- Medtronic$23
Across 52 payments — averaging $11,254 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.
- Medical Device Business Services, Inc.$288K
- Nexxt Spine LLC$218K
- Mitsubishi Tanabe Pharma Development America, Inc.$41K
- Implanet America, Inc.$25K
- Tyber Medical, LLC$8K
- Vertex$5K
What the payments were for
- Travel & lodging$1,90379%
- Food & beverage$51521%
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 |
|---|---|---|
| Synthes GmbH | 2 | $1,903 |
| Johnson & Johnson | 4 | $288 |
| Globus Medical | 1 | $131 |
| Medical Device Business Services, Inc. | 3 | $72 |
| Medtronic | 1 | $23 |
How this compares
$2,418 in reported general payments places this provider in the 45th percentile of 99 neurological surgery providers in Kentucky.
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 |
|---|---|---|
| Oxycodone Hcl | 36 | $201 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $109 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lexington
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Christian RamseyLexington$35K
- David DornbosLexington$35K
- Saman SizdahkhaniLexington$29K
- Rouzbeh Motiei LangroudiLexington$25K
- Ryan HoflerLexington$12K
- Justin FraserLexington$10K
- Justin HilliardLexington$8K
- John GilbertLexington$4K
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.