Ajeya Joshi, MD
Orthopaedic Surgery of the Spine · San Antonio, TXNPI 1497796643
Payments from drug & device makers
Across 98 payments — averaging $55.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mission Medical Distribution, LLC$2K
- Nevro Corp.$653
- Arthrex$521
- Amgen$403
- Si-bone, Inc.$402
- Orthofix Medical, Inc.$351
- plus $1K from 14 others
What the payments were for
- Travel & lodging$2,20141%
- Food & beverage$3,11358%
- Education$801%
- Entertainment$70%
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
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 |
|---|---|---|
| Mission Medical Distribution, LLC | 13 | $1,891 |
| Nevro Corp. | 9 | $653 |
| Arthrex | 4 | $521 |
| Amgen | 20 | $403 |
| Si-bone, Inc. | 5 | $402 |
| Orthofix Medical, Inc. | 16 | $351 |
| Radius Health, Inc. | 10 | $284 |
| Globus Medical(2 entities) | 2 | $205 |
| Seaspine Orthopedics Corporation | 1 | $140 |
| Baxter Healthcare | 2 | $85 |
| Alafair Biosciences, Inc. | 1 | $85 |
| Heron Therapeutics, Inc. | 4 | $79 |
| Vertex | 2 | $64 |
| Bard Peripheral Vascular, Inc. | 1 | $52 |
| Innovation Technologies Inc | 1 | $50 |
| Biohaven Pharmaceuticals, Inc. | 2 | $48 |
| DJO, LLC | 1 | $28 |
| Stryker | 1 | $25 |
| Ulrich Medical USA, Inc. | 2 | $19 |
| Abbott | 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.
- Senza$394
- iFuse Implant$353
- Simplify Cervical Artificial Disc$165
- Omnia$143
- Accell Evo3c$140
- 7D Surgical System$132
- EVENITY$125
- Prolia$125
- Tymlos$108
How this compares
$5,400 in reported general payments places this provider in the 30th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 76 | $1,152 |
| Cyclobenzaprine Hcl | 116 | $1,028 |
| Methocarbamol | 113 | $993 |
| Gabapentin | 87 | $810 |
| Celecoxib | 12 | $397 |
| Meloxicam | 163 | $374 |
| Methylprednisolone | 15 | $114 |
| Tizanidine Hcl | 12 | $98 |
| Tramadol Hcl | 13 | $19 |
| Pantoprazole Sodium | 11 | $13 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in San Antonio
- Adam BruggemanSan Antonio$718K
- M DennisSan Antonio$236K
- Kevin RichardsonSan Antonio$90K
- Antonio WebbSan Antonio$75K
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.7M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Richard GuyerPlano$1.3M
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.