Alexander Arzeno, MD
Orthopaedic Surgery of the Spine · Issaquah, WANPI 1891115085
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $9,872 of the $13,387 with a category attached, or 73.7%. Globus Medical accounts for 82.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2023 at $5,364 and has fallen 98.6% since, to $73 in 2025.
Across 81 payments — averaging $165.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$11K
- Stryker$1K
- Medtronic$322
- Zimvie Inc.$135
- Alphatec Spine, Inc$124
- KCI USA, Inc.$122
- plus $371 from 8 others
What the payments were for
- Travel & lodging$9,87274%
- Food & beverage$3,18824%
- Education$3272%
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) | 46 | $10,990 |
| Stryker | 9 | $1,322 |
| Medtronic(2 entities) | 7 | $322 |
| Zimvie Inc. | 1 | $135 |
| Alphatec Spine, Inc | 2 | $124 |
| KCI USA, Inc. | 1 | $122 |
| Misonix Inc | 1 | $97 |
| Baxter Healthcare | 3 | $56 |
| Cerapedics Inc. | 3 | $47 |
| Zimmer Biomet | 3 | $45 |
| Kuros Biosciences USA, Inc | 2 | $39 |
| Providence Medical Technology, Inc. | 1 | $36 |
| Biocomposites Inc | 1 | $28 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
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.
- Excelsius3D Imaging System$3,198
- ExcelsiusGPS Robotic Navigation System$2,785
- XLIF$1,902
- ALIF$1,070
- ELSA$752
- AVIATOR$662
- TLIF$467
- ESCALATE$441
- XIA$441
- ES2$441
- OASYS$441
- TRITANIUM$363
- NONE$327
- SERRATO$221
- Pulse$201
- nanoLOCK-L$191
- ACP$163
- ELSA ATP$150
- Excelsius - GPS$149
- CREO$144
How this compares
$13,387 in reported general payments places this provider in the 60th percentile of 61 orthopaedic surgery of the spine providers in Washington.
See all orthopaedic surgery of the spine providers in Washington →
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 |
|---|---|---|
| Gabapentin | 105 | $1,130 |
| Cyclobenzaprine Hcl | 83 | $527 |
| Oxycodone Hcl | 41 | $258 |
| Methocarbamol | 14 | $136 |
| Methylprednisolone | 20 | $126 |
| Tizanidine Hcl | 12 | $58 |
| Tramadol Hcl | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Issaquah
- Antoine TohmehSpokane$4.3M
- Rajiv SethiSeattle$2.9M
- Mark FreebornKirkland$1.8M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
- Philip LouieSeattle$132K
- John ShusterSpokane$124K
- Nicholas SpinaSeattle$98K
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.