Thomas Royals
Orthopaedic Surgery · Hattiesburg, MSNPI 1184068413
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (43.3%), food and beverage and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by ALON Medical Technology at 28.2% of the total. Reporting peaked in 2019 at $4,399 and has fallen 85.8% since, to $626 in 2025.
Across 93 payments — averaging $105.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ALON Medical Technology$3K
- Arthrex$3K
- Axogen$2K
- Zimmer Biomet$1K
- Ensemble Orthopedics, Inc$226
- Smith+Nephew$157
- plus $844 from 17 others
What the payments were for
- Travel & lodging$4,24343%
- Food & beverage$3,07231%
- Education$2,48525%
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 |
|---|---|---|
| ALON Medical Technology | 11 | $2,766 |
| Arthrex | 24 | $2,682 |
| Axogen | 8 | $1,872 |
| Zimmer Biomet | 15 | $1,252 |
| Ensemble Orthopedics, Inc | 2 | $226 |
| Smith+Nephew | 3 | $157 |
| Endo Pharmaceuticals Inc. | 2 | $145 |
| Stryker | 4 | $129 |
| Johnson & Johnson | 1 | $80 |
| Ferring Pharmaceuticals Inc. | 5 | $69 |
| Medartis Inc. | 1 | $58 |
| Integra Lifesciences Corporation | 1 | $51 |
| Kerecis Limited | 2 | $46 |
| FX Shoulder Solutions, Inc | 1 | $41 |
| Endo USA, Inc. | 2 | $39 |
| Organogenesis Inc. | 2 | $34 |
| Skeletal Dynamics Inc | 1 | $33 |
| Linvatec Corporation | 1 | $33 |
| Vertex | 1 | $19 |
| Medela LLC | 1 | $18 |
| Pacira Therapeutics, Inc. | 1 | $17 |
| Fidia Pharma USA Inc. | 3 | $17 |
| Sonex Health, Inc. | 1 | $16 |
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
$9,799 in reported general payments places this provider in the 65th percentile of 170 orthopaedic surgery providers in Mississippi.
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 | 149 | $1,725 |
| Ketorolac Tromethamine | 62 | $975 |
| Ondansetron OdtOndansetron | 83 | $697 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 122 | $607 |
| Clindamycin Hcl | 14 | $238 |
| Diclofenac Sodium | 22 | $234 |
| Tramadol Hcl | 41 | $73 |
| Metoclopramide Hcl | 25 | $31 |
| Famotidine | 33 | $24 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Hattiesburg
- Matthew GravesJackson$1.2M
- George van OstenTupelo$322K
- Edward HobgoodJackson$267K
- Hanna MitiasNew Albany$249K
- Stephen SouthworthTupelo$160K
- Jamey BurrowJackson$130K
- Jeff AlmandJackson$109K
- Spencer MontgomeryJackson$90K
- Larry FieldJackson$88K
- Joseph CoxGulfport$84K
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.