Neil Romero, MD
Orthopaedic Surgery of the Spine · Lafayette, LANPI 1720176514
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 77 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Globus Medical accounts for 73.2% of it on its own, with 6 other manufacturers making up the rest. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in LA, where the typical reported total is $12,239.
Across 77 payments — averaging $43.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Alphatec Spine, Inc$503
- Stryker$222
- Boston Scientific$129
- Johnson & Johnson$20
- Nevro Corp.$20
- plus $13 from 1 others
What the payments were for
- Food & beverage$3,383100%
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 |
|---|---|---|
| Globus Medical | 64 | $2,476 |
| Alphatec Spine, Inc | 6 | $503 |
| Stryker | 3 | $222 |
| Boston Scientific | 1 | $129 |
| Johnson & Johnson | 1 | $20 |
| Nevro Corp. | 1 | $20 |
| Amgen | 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.
- Solus ALIF$121
- ALEUTIAN ALIF$104
- CREO 5.5$100
How this compares
$3,383 in reported general payments places this provider in the 15th percentile of 29 orthopaedic surgery of the spine providers in Louisiana.
See all orthopaedic surgery of the spine providers in Louisiana →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $305 |
| Diclofenac Sodium | 17 | $247 |
| Gabapentin | 48 | $237 |
| Cyclobenzaprine Hcl | 24 | $143 |
| Meloxicam | 57 | $129 |
| Tramadol Hcl | 23 | $92 |
| Tizanidine Hcl | 18 | $79 |
| Methocarbamol | 12 | $63 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Lafayette
- Lon BaronneLafayette$190K
- Mark McDonnellLafayette$7K
- Mathew CyriacNew Orleans$368K
- Joseph ZavatskyMetairie$205K
- Alexis WaguespackMetairie$63K
- Charles YuNew Orleans$52K
- Stephen HogeShreveport$48K
- William AccoustiNew Orleans$46K
- Amit BhandutiaNew Orleans$39K
- Milan ModyShreveport$33K
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.