Andrew Mikeska, DO
Orthopaedic Surgery of the Spine · Tyler, TXNPI 1760975049
Payments from drug & device makers
Across 44 payments — averaging $155.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$3K
- Alphatec Spine, Inc$2K
- Johnson & Johnson$834
- Stryker$353
- Globus Medical$346
- Abbott$169
- plus $384 from 6 others
What the payments were for
- Travel & lodging$4,58767%
- Food & beverage$2,24333%
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 |
|---|---|---|
| Synthes GmbH | 4 | $2,791 |
| Alphatec Spine, Inc | 7 | $1,953 |
| Johnson & Johnson | 15 | $834 |
| Stryker | 4 | $353 |
| Globus Medical | 4 | $346 |
| Abbott | 2 | $169 |
| Si-bone, Inc. | 1 | $156 |
| Heron Therapeutics, Inc. | 1 | $94 |
| Medical Device Business Services, Inc. | 2 | $47 |
| Bioventus LLC | 1 | $36 |
| Smith+Nephew | 2 | $28 |
| Orthofix Medical, Inc. | 1 | $22 |
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.
- Other - Miscellaneous$1,903
- PROCLAIM$160
- MAKO$142
- Excelsius3D Imaging System$141
- GAMMA$140
- HOFFMANN$140
- CALIBER-L$129
- SYMPHONY$111
- CONDUIT$103
- Expedium VERSE$103
How this compares
$6,829 in reported general payments places this provider in the 35th 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 | 12 | $84 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Tyler
- 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
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
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.