Randall Graham, MD
Neurological Surgery · Dallas, TXNPI 1174834295
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $102,300 of the $138,216 with a category attached, or 74.0%. Globus Medical accounts for 67.9% of it on its own, with 25 other manufacturers making up the rest. 2025 is the largest year on record at $40,248, 4.1 times the $9,732 reported in 2019. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 345 payments — averaging $400.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$94K
- Medtronic$40K
- Seaspine Orthopedics Corporation$2K
- 4web, Inc.$1K
- Spineart USA Inc$347
- Johnson & Johnson$217
- plus $816 from 20 others
What the payments were for
- Consulting fees$102,30074%
- Travel & lodging$26,71119%
- Food & beverage$9,1827%
- Entertainment$230%
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(2 entities) | 222 | $93,845 |
| Medtronic(2 entities) | 81 | $40,081 |
| Seaspine Orthopedics Corporation | 10 | $1,839 |
| 4web, Inc. | 2 | $1,070 |
| Spineart USA Inc | 1 | $347 |
| Johnson & Johnson(2 entities) | 6 | $217 |
| MML US, Inc. | 1 | $193 |
| Spinal Elements, Inc. | 1 | $136 |
| VB Spine LLC | 1 | $56 |
| Relievant Medsystems, Inc. | 1 | $55 |
| Alphatec Spine, Inc | 1 | $44 |
| Spine Wave, Inc. | 1 | $44 |
| Kerecis Limited | 2 | $35 |
| Providence Medical Technology, Inc. | 2 | $35 |
| Clariance, Inc. | 2 | $28 |
| Smith+Nephew | 1 | $27 |
| Portola Pharmaceuticals, LLC | 1 | $25 |
| Aesculap, Inc. | 1 | $21 |
| Abbott | 1 | $20 |
| UCB, Inc. | 1 | $17 |
| Osseus Fusion Systems, LLC | 1 | $16 |
| Olympus America Inc. | 1 | $15 |
| Acera Surgical, Inc. | 1 | $14 |
| Cook Medical LLC | 1 | $12 |
| Surgalign Spine Technologies, Inc. | 1 | $12 |
| Convatec Inc. | 1 | $11 |
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.
- XLIF$60,187
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$8,432
- ExcelsiusGPS Robotic Navigation System$7,662
- ALIF$3,419
- TLIF$3,332
- Pulse$2,892
- Mariner$1,159
- SPINE TRUSS SYSTEM$1,000
- UNID_PASS$980
- MLX$650
- Reef TA$600
- Shoreline ASC$600
- NorthStar$559
- Reef TO$478
- VuePoint$398
- Excelsius - GPS$249
- Nuvaline/NuvaMap O.R.$241
- ReActiv8$193
- INDEPENDENCE MIS$175
- MAZOR X SYSTEM$160
How this compares
$138,216 in reported general payments places this provider in the 90th percentile of 582 neurological 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 69 | $911 |
| Methocarbamol | 14 | $133 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Dallas
- Richard MeyratDallas$883K
- Bartley MitchellDallas$255K
- Jeremy DenningDallas$204K
- Babu WelchDallas$123K
- Stephen KatzenDallas$115K
- Michael OhDallas$111K
- Bala GiriDallas$101K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
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.