Larry Likover, MD
Orthopaedic Surgery · Houston, TXNPI 1952393233
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 26 manufacturers reported payments, led by Stryker at 25.4% of the total. Reporting peaked in 2021 at $639 and has fallen 77.2% since, to $146 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in TX, where the typical reported total is $4,671.
Across 108 payments — averaging $28.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$781
- Pacira Therapeutics, Inc.$455
- Amgen$313
- Catalyst Orthoscience$204
- Pacira Pharmaceuticals Incorporated$191
- ERMI LLC$142
- plus $993 from 20 others
What the payments were for
- Food & beverage$3,079100%
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 |
|---|---|---|
| Stryker | 15 | $781 |
| Pacira Therapeutics, Inc. | 26 | $455 |
| Amgen(2 entities) | 21 | $313 |
| Catalyst Orthoscience | 2 | $204 |
| Pacira Pharmaceuticals Incorporated | 8 | $191 |
| ERMI LLC | 7 | $142 |
| Medinc Of Texas | 1 | $139 |
| Acelrx Pharmaceuticals, Inc. | 1 | $118 |
| Medtronic | 2 | $111 |
| Smith+Nephew | 1 | $85 |
| Johnson & Johnson(2 entities) | 4 | $84 |
| Bioventus LLC | 4 | $80 |
| Electronic Waveform Lab, Inc. | 1 | $70 |
| Kowa Pharmaceuticals America, Inc. | 2 | $41 |
| Baudax Bio Inc. | 2 | $37 |
| Medacta USA, Inc. | 1 | $33 |
| Alafair Biosciences, Inc. | 1 | $27 |
| Vertex | 1 | $26 |
| Globus Medical | 1 | $26 |
| Abbott | 1 | $22 |
| Zimmer Biomet | 1 | $21 |
| BD | 1 | $18 |
| Biocomposites Inc | 1 | $15 |
| Biom'up France SAS | 1 | $14 |
| Curonix LLC | 1 | $13 |
| Convatec Inc. | 1 | $12 |
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
$3,079 in reported general payments places this provider in the 40th percentile of 1,337 orthopaedic surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 248 | $9,751 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 159 | $1,775 |
| Cefadroxil | 121 | $1,285 |
| Meloxicam | 118 | $699 |
| Mupirocin | 90 | $673 |
| Tramadol Hcl | 179 | $635 |
| Methylprednisolone | 61 | $457 |
| Minocycline Hcl | 20 | $396 |
| Ibuprofen | 31 | $366 |
| Diclofenac Sodium | 14 | $318 |
| Gabapentin | 17 | $188 |
| Methocarbamol | 11 | $129 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 14 | $116 |
| Ondansetron Hcl | 17 | $93 |
| Amoxicillin | 15 | $19 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Houston
- Stefan KreuzerHouston$6.2M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- Adam FreedhandHouston$1.8M
- Jeffrey KozakHouston$1.1M
- Travis HansonHouston$1M
- Thomas TanousHouston$698K
- Alan RechterHouston$605K
- Ugonna IhekweazuHouston$544K
- Darrell HansonHouston$284K
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.