Thomas Loftus, MD
Neurological Surgery · Austin, TXNPI 1548253503
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $374,853 of the $378,590 with a category attached, or 99.0%. 27 manufacturers reported payments, led by Biofusion Management And Manufacturing, LLC at 53.2% of the total. Reporting peaked in 2019 at $285,305 and has fallen 99.9% since, to $184 in 2025. 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 91 payments — averaging $4160.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biofusion Management And Manufacturing, LLC$201K
- Osseus Fusion Systems, LLC$174K
- Abbott$2K
- Medtronic$285
- Providence Medical Technology, Inc.$192
- Johnson & Johnson$173
- plus $927 from 21 others
What the payments were for
- Royalty or licence$374,85399%
- Food & beverage$3,7371%
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 |
|---|---|---|
| Biofusion Management And Manufacturing, LLC | 1 | $201,398 |
| Osseus Fusion Systems, LLC | 11 | $173,968 |
| Abbott | 28 | $1,646 |
| Medtronic(2 entities) | 10 | $285 |
| Providence Medical Technology, Inc. | 5 | $192 |
| Johnson & Johnson | 5 | $173 |
| VGI Medical, LLC | 1 | $148 |
| Si-bone, Inc. | 6 | $120 |
| Biotronik Inc. | 1 | $106 |
| Spineart USA Inc | 1 | $98 |
| Nevro Corp. | 1 | $91 |
| Osteocentric Technologies, Inc. | 2 | $47 |
| Boston Scientific | 2 | $37 |
| Orthofix Medical, Inc. | 2 | $28 |
| Relievant Medsystems, Inc. | 1 | $27 |
| Spineology Inc. | 1 | $24 |
| Foundation Fusion Solutions, LLC | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Radius Health, Inc. | 1 | $22 |
| Zimmer Biomet | 1 | $21 |
| Baxter Healthcare | 1 | $19 |
| Globus Medical | 1 | $19 |
| Alafair Biosciences, Inc. | 1 | $17 |
| Intrinsic Therapeutics | 3 | $14 |
| Spinal Simplicity, LLC | 1 | $14 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
| Wenzel Spine, Inc. | 1 | $14 |
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.
- SI-Restore$201,398
- Proclaim IPG$529
- PROCLAIM$416
- SiJoin, VerteLoc, VerteLP, CerLoc$148
- Proclaim Family of SCS IPGs$114
- Orsiro Mission$106
How this compares
$378,590 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 240 | $3,735 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 149 | $1,933 |
| Gabapentin | 68 | $764 |
| Tizanidine Hcl | 88 | $661 |
| Tramadol Hcl | 59 | $661 |
| Cyclobenzaprine Hcl | 46 | $436 |
| Methocarbamol | 51 | $410 |
| Pregabalin | 21 | $159 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Austin
- Douglas FoxAustin$948K
- John StokesAustin$522K
- Daniel PetersonAustin$442K
- Jon WillieAustin$137K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$792K
- Arnold VardimanSan Antonio$687K
- Andrew RoeserHouston$660K
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.