Jacob Fleming, MD
Diagnostic Radiology · Dallas, TXNPI 1659875573
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.4%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Medtronic at 34.3% of the total. Reporting peaked in 2024 at $4,863 and has fallen 59.5% since, to $1,968 in 2025. Among diagnostic radiology clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 96 payments — averaging $108.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Si-bone, Inc.$2K
- Nevro Corp.$1K
- Stryker$1K
- Genesys Orthopedics Systems, L.L.C.$546
- Stratus Medical, LLC$423
- plus $2K from 17 others
What the payments were for
- Speaking & faculty fees$1,25012%
- Grants$1,00010%
- Travel & lodging$2,01419%
- Food & beverage$5,32951%
- Education$7677%
- Gifts$150%
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 |
|---|---|---|
| Medtronic | 28 | $3,558 |
| Si-bone, Inc. | 10 | $1,526 |
| Nevro Corp. | 7 | $1,131 |
| Stryker | 13 | $1,076 |
| Genesys Orthopedics Systems, L.L.C. | 3 | $546 |
| Stratus Medical, LLC | 3 | $423 |
| Boston Scientific | 5 | $327 |
| Amgen | 4 | $266 |
| Spinal Simplicity, LLC | 3 | $264 |
| IZI Medical Products, LLC | 1 | $238 |
| Inari Medical, Inc. | 1 | $190 |
| Saluda Medical Americas, Inc. | 3 | $181 |
| Wenzel Spine, Inc. | 1 | $173 |
| Avanos Medical | 1 | $123 |
| Argon Medical Devices, Inc. | 1 | $102 |
| Globus Medical | 1 | $67 |
| CSL Behring | 4 | $51 |
| AbbVie | 2 | $39 |
| Siemens Medical Solutions USA, Inc. | 1 | $33 |
| Radius Health, Inc. | 1 | $19 |
| Amneal Pharmaceuticals LLC | 1 | $15 |
| KCI USA, Inc. | 1 | $13 |
| Johnson & Johnson | 1 | $13 |
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.
- KYPHON EXPRESS II KYPHOPAK TRAY$1,836
- SACROILIAC JOINT FUSION SYSTEM$1,063
- IFUSE IMPLANT SYSTEM$859
- Omnia$767
- ASCENDA$750
- AUGMENT INJECTABLE$597
- Nimbus$364
- Intracept$257
- Senza$245
- FlowTriever$190
- ClotTriever$190
- Varilift$173
- VANTA ADAPTIVESTIM$168
- HA MINUTEMAN G3-R$165
- Evoke SCS$146
- INTELLIS ADAPTIVESTIM$144
- SPINEJACK$134
- EVENITY$124
- GENERATOR$123
- TIPS$102
How this compares
$10,374 in reported general payments places this provider in the 95th percentile of 2,506 diagnostic radiology providers in Texas.
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.
Other diagnostic radiology in Dallas
- Steven RoweDallas$407K
- Sean RajDallas$122K
- Umesh OzaDallas$100K
- Ike ThackerDallas$82K
- Alastair MooreDallas$70K
- Kennith LaytonDallas$55K
- Avneesh ChhabraDallas$50K
- Jamaal BenjaminDallas$34K
- Marc GosselinDallas$26K
- Jeffrey SiegelDallas$19K
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.