RxDoctor Payments Data

Kristopher Hooten, MD

Neurological Surgery · Bethesda, MDNPI 1528296076

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (59.8%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Globus Medical accounts for 62.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $6,511 and has fallen 71.1% since, to $1,884 in 2025.

$17,440in general payments, 2019–2025

Across 102 payments — averaging $170.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$11K
  • Zimmer Biomet$3K
  • Carlsmed, Inc.$1K
  • Irras USA, Inc.$642
  • Medtronic$476
  • Stryker$453
  • plus $1K from 7 others

What the payments were for

  • Consulting fees$2,80016%
  • Speaking & faculty fees$6424%
  • Travel & lodging$10,43060%
  • Food & beverage$3,56820%

General payments by program year

19
20
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.

CompanyPaymentsTotal
Globus Medical(2 entities)61$10,857
Zimmer Biomet11$2,659
Carlsmed, Inc.6$1,169
Irras USA, Inc.1$642
Medtronic6$476
Stryker7$453
Zimvie Inc.1$300
Spineology Inc.1$208
Orthofix Medical, Inc.2$194
Johnson & Johnson2$167
Spine Wave, Inc.2$127
Microtransponder, Inc.1$106
KARL Storz Endoscopy-america1$81

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

$17,440 in reported general payments places this provider in the 75th percentile of 133 neurological surgery providers in Maryland.

See all neurological surgery providers in Maryland

Medicare billing

Part B allowed, 2024
$31,886
Medicare patients
20
Services billed
40

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 neurological surgery in Bethesda

See the full list for Maryland

Where these figures come from

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