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Terrence Holekamp

Neurological Surgery · Saint Louis, MONPI 1134375249

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (43.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 91.7% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $13,838, 2.0 times the $6,853 reported in 2019. Among neurological surgery clinicians in MO 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.

$37,132in general payments, 2019–2025

Across 140 payments — averaging $265.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$34K
  • Stryker$978
  • Globus Medical$930
  • Johnson & Johnson$615
  • Carlsmed, Inc.$108
  • Innovation Technologies Inc$107
  • plus $344 from 11 others

What the payments were for

  • Consulting fees$1,1103%
  • Speaking & faculty fees$16,28044%
  • Travel & lodging$12,22933%
  • Food & beverage$6,60218%
  • Education$9102%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Medtronic(2 entities)103$34,049
Stryker9$978
Globus Medical(2 entities)6$930
Johnson & Johnson7$615
Carlsmed, Inc.2$108
Innovation Technologies Inc1$107
Arteriocyte Medical Systems, Inc.1$55
Providence Medical Technology, Inc.2$49
Si-bone, Inc.1$34
Elite Orthopedics, LLC1$33
Cerapedics Inc.1$30
Orthofix Medical, Inc.1$30
Integra Lifesciences Corporation1$28
Sanara Medtech Inc.1$25
Abbott1$21
Icotec Medical Inc.1$20
Amgen1$18

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.

How this compares

$37,132 in reported general payments places this provider in the 90th percentile of 172 neurological surgery providers in Missouri.

See all neurological surgery providers in Missouri →

Medicare billing

Part B allowed, 2024
$108,272
Medicare patients
229
Services billed
456

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen35$220
Oxycodone Hcl20$134

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Saint Louis

See the full list for Missouri →

Where these figures come from

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