Alexis Waguespack, MD
Orthopaedic Surgery of the Spine · Metairie, LANPI 1457388035
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $40,365 of the $63,449 with a category attached, or 63.6%. Si-bone, Inc. accounts for 72.1% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2019 at $18,508 and has fallen 66.6% since, to $6,188 in 2025.
Across 151 payments — averaging $420.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$46K
- Spineart USA Inc$14K
- Medicrea USA, Corp.$1K
- Spineart SA$889
- Zimmer Biomet$573
- Alphatec Spine, Inc$289
- plus $1K from 19 others
What the payments were for
- Consulting fees$40,36564%
- Travel & lodging$17,05227%
- Food & beverage$5,9829%
- Entertainment$500%
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 |
|---|---|---|
| Si-bone, Inc. | 62 | $45,716 |
| Spineart USA Inc | 29 | $13,569 |
| Medicrea USA, Corp. | 5 | $1,161 |
| Spineart SA | 5 | $889 |
| Zimmer Biomet | 14 | $573 |
| Alphatec Spine, Inc | 2 | $289 |
| Xtant Medical Inc | 1 | $189 |
| Wenzel Spine, Inc. | 1 | $171 |
| Abbott | 2 | $160 |
| Osteocentric Technologies, Inc. | 1 | $121 |
| Amgen | 9 | $108 |
| Stryker | 2 | $104 |
| Cerapedics Inc. | 1 | $77 |
| Biodelivery Sciences International, Inc. | 5 | $64 |
| Spinal Elements, Inc. | 1 | $50 |
| Spineology Inc. | 1 | $49 |
| Spine Wave, Inc. | 1 | $36 |
| Radius Health, Inc. | 2 | $25 |
| KCI USA, Inc. | 1 | $17 |
| Daiichi Sankyo Inc. | 1 | $16 |
| Sun Pharmaceutical Industries Inc. | 1 | $14 |
| Baxter Healthcare | 1 | $13 |
| Boston Scientific | 1 | $13 |
| Zyla Life Sciences, Inc. | 1 | $13 |
| Electronic Waveform Lab, Inc. | 1 | $12 |
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.
- iFuse Implant$39,279
- IFUSE IMPLANT SYSTEM$2,960
- Perla TL$1,374
- PASS-LP$1,076
- UNiD$868
- BAGUERA C$807
- Battalion PLIF - PS$189
- Varilift$171
- ROSA Spine$124
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$121
- Scarlet AL-T$117
- PERLA TL - MIS$111
How this compares
$63,449 in reported general payments places this provider in the 85th percentile of 29 orthopaedic surgery of the spine providers in Louisiana.
See all orthopaedic surgery of the spine providers in Louisiana →
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 |
|---|---|---|
| MounjaroTirzepatide | 23 | $32,334 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 317 | $12,803 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 182 | $7,803 |
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 52 | $2,651 |
| Oxycodone Hcl | 95 | $1,645 |
| Lidocaine | 13 | $892 |
| Cyclobenzaprine Hcl | 64 | $824 |
| Diazepam | 67 | $684 |
| Gabapentin | 68 | $666 |
| Pregabalin | 24 | $480 |
| Tizanidine Hcl | 53 | $421 |
| Methocarbamol | 20 | $353 |
| Tramadol Hcl | 31 | $239 |
| Zolpidem Tartrate | 11 | $110 |
| Meloxicam | 35 | $97 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Metairie
- Joseph ZavatskyMetairie$205K
- Michael CollinsMetairie$17K
- Mathew CyriacNew Orleans$368K
- Lon BaronneLafayette$190K
- Charles YuNew Orleans$52K
- Stephen HogeShreveport$48K
- William AccoustiNew Orleans$46K
- Amit BhandutiaNew Orleans$39K
- Milan ModyShreveport$33K
- Christopher CenacHouma$33K
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.