Ryan Hofler, MD
Neurological Surgery · Lexington, KYNPI 1225370521
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Medical Device Business Services, Inc. accounts for 77.7% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $8,340, more than ten times the $155 reported in 2019.
Across 50 payments — averaging $249.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$10K
- Johnson & Johnson$2K
- Medtronic$565
- Globus Medical$475
- Si-bone, Inc.$198
- Stryker$20
What the payments were for
- Consulting fees$7,32459%
- Travel & lodging$2,40319%
- Food & beverage$2,54420%
- Education$2062%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 20 | $9,692 |
| Johnson & Johnson | 18 | $1,526 |
| Medtronic(2 entities) | 4 | $565 |
| Globus Medical | 5 | $475 |
| Si-bone, Inc. | 2 | $198 |
| Stryker | 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.
- CONDUIT$907
- Velys$501
- CALIBER$260
- VIPER$251
- ACIS PROTI 360 HL$151
- iFuse Implant$140
- Expedium VERSE$138
- O-ARM-Spine$135
- O-ARM$115
- Mazor X Stealth Edition$109
- RISE$103
- Excelsius - GPS$103
How this compares
$12,477 in reported general payments places this provider in the 75th percentile of 99 neurological surgery providers in Kentucky.
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 | 133 | $1,494 |
| Oxycodone Hcl | 88 | $918 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 42 | $540 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $419 |
| Pregabalin | 20 | $408 |
| Methocarbamol | 43 | $315 |
| Tramadol Hcl | 18 | $131 |
| Diazepam | 40 | $90 |
| Meloxicam | 13 | $76 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lexington
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Christian RamseyLexington$35K
- David DornbosLexington$35K
- Saman SizdahkhaniLexington$29K
- Rouzbeh Motiei LangroudiLexington$25K
- Justin FraserLexington$10K
- Justin HilliardLexington$8K
- John GilbertLexington$4K
- Nessa TimoneyLexington$4K
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.