Andrew Milby, MD
Orthopaedic Surgery of the Spine · Smyrna, GANPI 1396063640
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $142,375 of the $164,047 with a category attached, or 86.8%. Stryker accounts for 73.0% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $54,038, more than ten times the $181 reported in 2019.
Across 161 payments — averaging $1018.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$120K
- VB Spine LLC$41K
- Alphatec Spine, Inc$2K
- Globus Medical$710
- Medtronic$201
- Medical Device Business Services, Inc.$143
- plus $41 from 2 others
What the payments were for
- Consulting fees$142,37587%
- Travel & lodging$16,19710%
- Food & beverage$5,4753%
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 |
|---|---|---|
| Stryker | 109 | $119,832 |
| VB Spine LLC | 15 | $41,187 |
| Alphatec Spine, Inc | 7 | $1,934 |
| Globus Medical(2 entities) | 22 | $710 |
| Medtronic(2 entities) | 5 | $201 |
| Medical Device Business Services, Inc. | 1 | $143 |
| Biocomposites Inc | 1 | $24 |
| Smith+Nephew | 1 | $17 |
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.
- CASCADIA INTERBODY SYSTEM$60,003
- EVEREST SPINAL SYSTEM$37,243
- CANYON RETRACTOR SYSTEMS$24,032
- YUKON OCT SPINAL SYSTEM$18,740
- XIA 3$11,500
- NIAGARA LATERAL ACCESS SYSTEM$11,000
- MONTEREY AL$9,176
- OASYS$9,000
- XIA 3 SYSTEM - SERRATO$7,017
- RAVINE LATERAL ACCESS SYSTEM$6,660
- Other - Miscellaneous$1,810
- N/A$1,206
- TRITANIUM$589
- AERO-LL$564
- SERRATO$297
- Pulse$150
- CONDUIT$143
- ESCALATE$119
- YUKON$114
- XLIF$113
How this compares
$164,047 in reported general payments places this provider in the 70th percentile of 57 orthopaedic surgery of the spine providers in Georgia.
See all orthopaedic surgery of the spine providers in Georgia →
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 | 110 | $1,115 |
| Oxycodone Hcl | 97 | $956 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $857 |
| Methocarbamol | 66 | $491 |
| Morphine Sulfate ErMorphine Sulfate | 16 | $396 |
| Tizanidine Hcl | 38 | $394 |
| Pregabalin | 25 | $269 |
| Tramadol Hcl | 34 | $221 |
| Hydromorphone Hcl | 30 | $211 |
| Celecoxib | 12 | $188 |
| Cyclobenzaprine Hcl | 25 | $165 |
| Duloxetine Hcl | 12 | $132 |
| Diazepam | 12 | $110 |
| Methylprednisolone | 11 | $67 |
| Meloxicam | 14 | $58 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Smyrna
- Miguel JimenezSmyrna$3K
- John HellerAtlanta$4.2M
- Scott BodenAtlanta$1.5M
- Justin BundyAugusta$1.4M
- John RheeAtlanta$1.1M
- Tapan DaftariAustell$759K
- Brad PrybisStockbridge$659K
- Paul JeffordsAtlanta$651K
- Raphael RoybalSavannah$400K
- Hewatt SimsDouglas$376K
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.