RxDoctor Payments Data

Adam Schell, MD

Orthopaedic Surgery of the Spine · Omaha, NENPI 1003202086

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (53.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Globus Medical at 38.0% of the total.

$3,482in general payments, 2019–2025

Across 32 payments — averaging $108.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$1K
  • Stryker$649
  • Medtronic$643
  • Alphatec Spine, Inc$497
  • Johnson & Johnson$138
  • Spineology Inc.$118
  • plus $115 from 3 others

What the payments were for

  • Travel & lodging$1,29537%
  • Food & beverage$1,84653%
  • Education$34110%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

20
21
22
23
24

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
Globus Medical(2 entities)9$1,323
Stryker7$649
Medtronic(2 entities)7$643
Alphatec Spine, Inc2$497
Johnson & Johnson(2 entities)2$138
Spineology Inc.1$118
Cerapedics Inc.2$77
Si-bone, Inc.1$20
Intrinsic Therapeutics1$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

Too few orthopaedic surgery of the spine providers in Nebraskato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$162,656
Medicare patients
250
Services billed
923

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/Acetaminophen27$462
Methocarbamol43$411
Gabapentin38$370
Baclofen47$298
Meloxicam15$248
Hydroxyzine Hcl13$147
Pregabalin13$117
Cyclobenzaprine Hcl12$76
Methylprednisolone13$43

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Omaha

See the full list for Nebraska

Where these figures come from

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