Thomas Axelrad, MD
Orthopaedic Surgery · Lake Charles, LANPI 1326229204
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (58.5%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Globus Medical accounts for 70.5% of it on its own, with 8 other manufacturers making up the rest. Among orthopaedic surgery clinicians in LA 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 323 payments — averaging $233.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$53K
- Stryker$22K
- Sanara Medtech Inc.$186
- Smith+Nephew$112
- Orthofix Medical, Inc.$54
- Pacira Therapeutics, Inc.$20
- plus $52 from 3 others
What the payments were for
- Royalty or licence$44,13059%
- Consulting fees$13,20018%
- Travel & lodging$4,3496%
- Food & beverage$13,70918%
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 | 36 | $53,178 |
| Stryker | 272 | $21,786 |
| Sanara Medtech Inc. | 4 | $186 |
| Smith+Nephew | 4 | $112 |
| Orthofix Medical, Inc. | 3 | $54 |
| Pacira Therapeutics, Inc. | 1 | $20 |
| Vertex | 1 | $19 |
| Johnson & Johnson | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
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.
- Proximal Tibia Plate$26,590
- Autobahn$13,221
- Anthem$11,421
- T2$7,212
- AXSOS$4,360
- VARIAX$1,750
- AUGMENT INJECTABLE$1,333
- SI-LOK$1,227
- GAMMA$1,063
- ACCOLADE$995
- ADAPT$515
- MAKO$408
- TRIATHLON$375
- Excelsius - GPS$236
- RESTORATION$163
- MOBILE BEARING HIP SYSTEM$163
- TRIDENT$140
- ANATO$133
- Distal Radius Plate$120
- BIO4$108
How this compares
$75,388 in reported general payments places this provider in the 90th percentile of 286 orthopaedic surgery providers in Louisiana.
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 |
|---|---|---|
| Oxycodone Hcl | 82 | $570 |
| Gabapentin | 24 | $347 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $303 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $183 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 22 | $178 |
| Methocarbamol | 28 | $173 |
| Celecoxib | 16 | $148 |
| Cephalexin | 21 | $77 |
| Tramadol Hcl | 11 | $55 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lake Charles
- Michael GarittyLake Charles$30K
- James JacksonLake Charles$26K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
- Kevin McCarthyBaton Rouge$594K
- Timmothy RandellAlexandria$498K
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.