Anil Kesani, MD
Orthopaedic Surgery of the Spine · North Richland Hills, TXNPI 1831359306
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $9,188 of the $12,043 with a category attached, or 76.3%. Pioneer Surgical Technology, Inc. accounts for 76.3% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2020 at $9,289 and has fallen 99.6% since, to $41 in 2024. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TX, where the typical reported total is $12,726.
Across 24 payments — averaging $501.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pioneer Surgical Technology, Inc.$9K
- Integrity Implants Inc.$2K
- Spineology Inc.$787
- Spineart USA Inc$146
- Globus Medical$74
- Si-bone, Inc.$46
- plus $213 from 10 others
Across 10 payments — averaging $3865.90 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Surgalign Spine Technologies, Inc.$39K
What the payments were for
- Consulting fees$9,18876%
- Travel & lodging$1,30311%
- Food & beverage$1,55213%
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 |
|---|---|---|
| Pioneer Surgical Technology, Inc. | 1 | $9,188 |
| Integrity Implants Inc. | 7 | $1,589 |
| Spineology Inc. | 3 | $787 |
| Spineart USA Inc | 1 | $146 |
| Globus Medical | 1 | $74 |
| Si-bone, Inc. | 1 | $46 |
| Providence Medical Technology, Inc. | 1 | $38 |
| Stryker | 1 | $35 |
| Johnson & Johnson | 1 | $25 |
| Medtronic | 1 | $23 |
| Sun Pharmaceutical Industries Inc. | 1 | $21 |
| Aclaris Therapeutics, Inc. | 1 | $19 |
| Aesculap, Inc. | 1 | $18 |
| Misonix Inc | 1 | $12 |
| Avanos Medical | 1 | $12 |
| Kerecis Limited | 1 | $11 |
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.
- Forte$9,188
- Palisade Pedicle Screw System$787
How this compares
$12,043 in reported general payments places this provider in the 45th 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 |
|---|---|---|
| Gabapentin | 247 | $2,557 |
| Naproxen | 250 | $2,357 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 195 | $1,339 |
| Omeprazole | 123 | $1,262 |
| Cyclobenzaprine Hcl | 48 | $617 |
| Pregabalin | 23 | $352 |
| Tramadol Hcl | 33 | $237 |
| Celecoxib | 14 | $196 |
| Morphine Sulfate ErMorphine Sulfate | 23 | $187 |
| Diazepam | 98 | $88 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in North Richland Hills
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
- Mohammad EtminanRichmond$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.