Adam Back, MD
Neurological Surgery · Spartanburg, SCNPI 1447540935
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (28.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 88.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $43,230 and has fallen 74.4% since, to $11,078 in 2025. Among neurological surgery clinicians in SC 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 301 payments — averaging $328.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$87K
- Alphatec Spine, Inc$7K
- Boston Scientific$2K
- Providence Medical Technology, Inc.$1K
- Si-bone, Inc.$877
- Medtronic$446
- plus $891 from 7 others
Across 2 payments — averaging $577.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Globus Medical$1K
What the payments were for
- Royalty or licence$28,16628%
- Consulting fees$14,95015%
- Speaking & faculty fees$23,60024%
- Travel & lodging$22,59523%
- Food & beverage$9,56910%
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(2 entities) | 218 | $87,208 |
| Alphatec Spine, Inc | 15 | $6,652 |
| Boston Scientific | 34 | $1,603 |
| Providence Medical Technology, Inc. | 15 | $1,203 |
| Si-bone, Inc. | 4 | $877 |
| Medtronic | 4 | $446 |
| Orthofix Medical, Inc. | 3 | $306 |
| Spineology Inc. | 2 | $280 |
| Zimvie Inc. | 1 | $128 |
| Osteocentric Technologies, Inc. | 1 | $100 |
| Aesculap, Inc. | 2 | $41 |
| Brainlab, Inc. | 1 | $20 |
| Abbott | 1 | $17 |
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.
- CREO$15,717
- CREO S2AI$12,636
- RISE-L$11,602
- RISE$11,039
- ALIF$9,049
- XLIF$8,792
- Other - Miscellaneous$6,092
- MAGNIFY AL$5,000
- EMPIRE (Expandable ALIF)$4,746
- INDEPENDENCE MIS$2,000
- Pulse$1,607
- IFUSE IMPLANT SYSTEM$802
- RISE-L . RISE-L A/L$694
- Excelsius3D Imaging System$594
- ExcelsiusGPS Robotic Navigation System$546
- WaveWriter Alpha Prime 16$501
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$280
- Mariner$273
- NorthStar$273
- IdentiTi$267
How this compares
$98,880 in reported general payments places this provider in the 90th percentile of 114 neurological surgery providers in South Carolina.
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 |
|---|---|---|
| Diclofenac Sodium | 202 | $1,942 |
| Methocarbamol | 155 | $1,317 |
| Oxycodone Hcl | 62 | $390 |
| Tizanidine Hcl | 22 | $150 |
| Methylprednisolone | 13 | $74 |
| Tramadol Hcl | 30 | $64 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Spartanburg
- Phillip EsceSpartanburg$32K
- Christopher ChittumSpartanburg$28K
- Robert FlandrySpartanburg$10K
- Alejandro SpiottaCharleston$894K
- David JonesRock Hill$540K
- Sabino DagostinoLadson$425K
- Jan Vargas MachajGreenville$207K
- Michael CowanRock Hill$184K
- Jonathan LenaCharleston$110K
- Matthew NealCharleston$65K
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.