George Khoury, MD
Neurological Surgery · Charleston, SCNPI 1174582035
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (52.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Spinal Elements, Inc. at 53.4% of the total. Reporting peaked in 2019 at $4,861 and has fallen 96.3% since, to $178 in 2025.
Across 91 payments — averaging $84.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Elements, Inc.$4K
- Medtronic$2K
- Abbott$1K
- Boston Scientific$212
- Stryker$111
- Integra Lifesciences Corporation$96
- plus $362 from 9 others
What the payments were for
- Consulting fees$4,00052%
- Travel & lodging$80711%
- Food & beverage$2,82737%
- Education$190%
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 |
|---|---|---|
| Spinal Elements, Inc. | 3 | $4,089 |
| Medtronic(2 entities) | 24 | $1,507 |
| Abbott | 32 | $1,275 |
| Boston Scientific | 7 | $212 |
| Stryker | 2 | $111 |
| Integra Lifesciences Corporation | 1 | $96 |
| Si-bone, Inc. | 4 | $72 |
| Nevro Corp. | 2 | $67 |
| Johnson & Johnson(2 entities) | 3 | $48 |
| Surgalign Spine Technologies, Inc. | 2 | $46 |
| Arbor Pharmaceuticals, Inc. | 6 | $37 |
| Providence Medical Technology, Inc. | 2 | $29 |
| Zimmer Biomet | 1 | $25 |
| Baxter Healthcare | 1 | $25 |
| Aesculap, Inc. | 1 | $15 |
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.
- Medical Device$4,000
- MazorX - Renaissance$807
- PENTA$309
- ETERNA$274
- ATLAS$129
- MAZOR X SYSTEM$124
- PROCLAIM$120
- Proclaim IPG$116
- GENERAL PAIN MANAGEMENT$115
How this compares
$7,653 in reported general payments places this provider in the 65th percentile of 114 neurological surgery providers in South Carolina.
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 |
|---|---|---|
| Gabapentin | 61 | $730 |
| Diclofenac Sodium | 27 | $270 |
| Methocarbamol | 12 | $234 |
| Tizanidine Hcl | 18 | $138 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $128 |
| Tramadol Hcl | 27 | $111 |
| Methylprednisolone | 11 | $67 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Charleston
- Alejandro SpiottaCharleston$894K
- Jonathan LenaCharleston$110K
- Matthew NealCharleston$65K
- Ramin EskandariCharleston$22K
- Istvan TakacsCharleston$13K
- Nathan RowlandCharleston$13K
- Robert StuartCharleston$10K
- Clayton HaldemanCharleston$9K
- Brian CuddyCharleston$9K
- Roberta SefcikCharleston$7K
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.