Richard Meyrat, MD
Neurological Surgery · Dallas, TXNPI 1376713917
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $616,138 of the $882,621 with a category attached, or 69.8%. Spineart SA accounts for 69.4% of it on its own, with 33 other manufacturers making up the rest. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 311 payments — averaging $2838.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spineart SA$613K
- Spineart USA Inc$130K
- Clariance, Inc.$83K
- Clariance SAS$28K
- Medicrea USA, Corp.$8K
- Innovasis Inc$5K
- plus $15K from 28 others
What the payments were for
- Royalty or licence$616,13870%
- Consulting fees$41,3005%
- Grants$80,0009%
- Travel & lodging$125,55814%
- Food & beverage$19,6252%
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 |
|---|---|---|
| Spineart SA | 36 | $612,504 |
| Spineart USA Inc | 94 | $129,686 |
| Clariance, Inc. | 34 | $83,304 |
| Clariance SAS | 9 | $28,377 |
| Medicrea USA, Corp. | 9 | $7,820 |
| Innovasis Inc | 10 | $5,492 |
| Spinal Elements, Inc. | 15 | $4,687 |
| Brainlab, Inc. | 7 | $2,894 |
| Aesculap Implant Systems, LLC | 5 | $1,191 |
| Cerapedics Inc. | 9 | $1,056 |
| Globus Medical(2 entities) | 16 | $658 |
| 7d Surgical Inc. | 1 | $643 |
| Arthrex | 12 | $581 |
| Kuros Biosciences USA, Inc | 2 | $473 |
| Providence Medical Technology, Inc. | 3 | $472 |
| Medtronic | 11 | $419 |
| Stryker | 7 | $383 |
| Johnson & Johnson(2 entities) | 6 | $367 |
| Nexxt Spine LLC | 2 | $329 |
| Neo Spine USA, Inc. | 3 | $238 |
| Arteriocyte Medical Systems, Inc. | 1 | $175 |
| Pylant Medical | 3 | $168 |
| CTL Medical Corporation | 2 | $161 |
| Sanara Medtech Inc. | 2 | $160 |
| Seaspine Orthopedics Corporation | 1 | $111 |
| Bioventus LLC | 1 | $81 |
| Baxter Healthcare | 3 | $46 |
| Potrero Medical, Inc. | 1 | $28 |
| Smith+Nephew | 1 | $27 |
| Imperative Care, Inc | 1 | $24 |
| Aesculap, Inc. | 1 | $21 |
| Choice Spine, LLC | 1 | $19 |
| Cook Medical LLC | 1 | $14 |
| Boston Scientific | 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.
- SCARLET AL-T - SECURED LUMBAR ANTERIOR CAGE$193,098
- Scarlet AL-T$141,106
- Romeo 2$126,576
- PERLA C$86,101
- ROMEO 2 - CORTICAL SCREW$85,738
- NAVIGATION$74,929
- Perla TL$26,670
- Angle-iX$19,562
- SCARLET AC-T - CERVICAL CAGE TI-LIFE$13,230
- Juliet LL$12,198
- SCARLET$8,600
- PASS-LP$7,676
- UNiD$5,711
- KARMA$2,500
- CURE ACP$2,273
- Erisma-MIS$2,200
- Medical Device$2,107
- Elegance$1,769
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$1,678
- ACTIVL$1,169
How this compares
$882,621 in reported general payments places this provider in the 95th 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 | 94 | $1,186 |
| Cyclobenzaprine Hcl | 80 | $590 |
| Methylprednisolone | 21 | $191 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Dallas
- Bartley MitchellDallas$255K
- Jeremy DenningDallas$204K
- Randall GrahamDallas$138K
- 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.