Randall Hlubek, MD
Neurological Surgery · Cincinnati, OHNPI 1992069652
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Alphatec Spine, Inc accounts for 94.0% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $15,363 and has fallen 98.7% since, to $199 in 2025.
Across 103 payments — averaging $394.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$38K
- Globus Medical$2K
- Medtronic$281
- Boston Scientific$82
- Zimvie Inc.$24
- Si-bone, Inc.$20
What the payments were for
- Consulting fees$22,93856%
- Travel & lodging$12,56631%
- Food & beverage$5,12513%
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 |
|---|---|---|
| Alphatec Spine, Inc | 51 | $38,183 |
| Globus Medical(2 entities) | 45 | $2,038 |
| Medtronic(2 entities) | 2 | $281 |
| Boston Scientific | 3 | $82 |
| Zimvie Inc. | 1 | $24 |
| Si-bone, Inc. | 1 | $20 |
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.
- Other - Miscellaneous$17,727
- IdentiTi$10,375
- Solus ALIF$6,860
- BATTALION LLIF$6,500
- Pulse$260
- Battalion TLIF - PC$179
- UNID_PASS$170
- LIF$135
- RELINE$128
- Osteocel$125
- ATLANTIS$111
How this compares
$40,629 in reported general payments places this provider in the 85th percentile of 301 neurological surgery providers in Ohio.
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 |
|---|---|---|
| Gabapentin | 81 | $734 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 38 | $417 |
| Methocarbamol | 43 | $326 |
| Oxycodone Hcl | 23 | $163 |
| Cyclobenzaprine Hcl | 12 | $125 |
| Methylprednisolone | 20 | $115 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Cincinnati
- Zachary TempelCincinnati$351K
- Michael KachmannCincinnati$247K
- John TewCincinnati$87K
- Benjamin MotleyCincinnati$79K
- Joseph ChengCincinnati$58K
- Sudhakar VadiveluCincinnati$41K
- Owoicho AdogwaCincinnati$37K
- Dale HorneCincinnati$27K
- William ToblerCincinnati$25K
- Francesco ManganoCincinnati$25K
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.