Andres Munk, MD
Orthopaedic Surgery · Livonia, MINPI 1124068754
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $188,850 of the $229,054 with a category attached, or 82.4%. Si-bone, Inc. accounts for 98.3% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2024 at $90,395 and has fallen 75.0% since, to $22,563 in 2025. Among orthopaedic surgery clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 334 payments — averaging $685.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$225K
- Seaspine Orthopedics Corporation$762
- Medtronic$553
- Boston Scientific$501
- Nevro Corp.$331
- Abbott$272
- plus $1K from 17 others
What the payments were for
- Consulting fees$188,85082%
- Travel & lodging$29,29413%
- Food & beverage$10,9105%
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. | 276 | $225,220 |
| Seaspine Orthopedics Corporation | 5 | $762 |
| Medtronic | 4 | $553 |
| Boston Scientific | 8 | $501 |
| Nevro Corp. | 4 | $331 |
| Abbott | 2 | $272 |
| Augmedics Inc. | 2 | $238 |
| 4web, Inc. | 3 | $161 |
| Icotec Medical Inc. | 1 | $140 |
| Amgen | 6 | $138 |
| Alphatec Spine, Inc | 1 | $136 |
| Surgalign Spine Technologies, Inc. | 1 | $113 |
| Theragen, Inc. | 1 | $98 |
| Providence Medical Technology, Inc. | 2 | $67 |
| AbbVie | 4 | $67 |
| Lifenet Health | 1 | $61 |
| Sanofi-aventis U.S. LLC | 3 | $40 |
| Johnson & Johnson | 2 | $36 |
| Radius Health, Inc. | 2 | $31 |
| Alvogen Inc | 2 | $28 |
| Endo Pharmaceuticals Inc. | 2 | $26 |
| Orthofix Medical, Inc. | 1 | $24 |
| Fidia Pharma USA Inc. | 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.
- IFUSE IMPLANT SYSTEM$187,333
- iFuse Implant$30,026
- Xvision$700
- MAZOR X SYSTEM$283
- PROCLAIM$272
- WaveWriter Alpha Prime 16$256
- UNiD$147
- VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM$140
- VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM$140
- KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM$140
- KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM$140
- KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM$140
- RIALTO SI FUSION SYSTEM$123
- Senza Spinal Cord Stimulation System$119
- SPINE TRUSS SYSTEM$114
- ALLOGRAFT$113
- Senza$108
How this compares
$229,054 in reported general payments places this provider in the 95th percentile of 829 orthopaedic surgery providers in Michigan.
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 |
|---|---|---|
| Methylprednisolone | 86 | $519 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $302 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Livonia
- Asheesh BediAnn Arbor$9.4M
- Jerome WiaterBeverly Hills$3.9M
- Mark PintoChelsea$3.2M
- Kyle AndersonBingham Farms$3.1M
- Stephen BartolDetroit$2.6M
- Jad KhalilSouthfield$1.9M
- Jeffrey FischgrundSouthfield$1.8M
- John BlahaAnn Arbor$1.5M
- David MarkelSouthfield$1.5M
- Christopher ChuinardTraverse City$1.4M
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.