Antoine Tohmeh, MD
Orthopaedic Surgery of the Spine · Spokane, WANPI 1366549040
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,926,824 of the $4,264,199 with a category attached, or 92.1%. Alphatec Spine, Inc accounts for 66.8% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $1,113,821, 8.0 times the $139,422 reported in 2019. Among orthopaedic surgery of the spine clinicians in WA 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 437 payments — averaging $9757.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$2.8M
- Globus Medical$1.4M
- Boston Scientific$324
- Si-bone, Inc.$217
- Seaspine Orthopedics Corporation$150
- MML US, Inc.$112
- plus $256 from 6 others
Across 36 payments — averaging $3003.61 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.
- Globus Medical$62K
- MML US, Inc.$16K
- Surgalign Spine Technologies, Inc.$16K
- Centinel Spine, LLC$15K
What the payments were for
- Royalty or licence$3,926,82492%
- Consulting fees$280,8957%
- Travel & lodging$47,0971%
- Food & beverage$9,3460%
- Gifts$100%
- Entertainment$270%
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 |
|---|---|---|
| Alphatec Spine, Inc | 320 | $2,846,413 |
| Globus Medical(2 entities) | 94 | $1,416,727 |
| Boston Scientific | 7 | $324 |
| Si-bone, Inc. | 3 | $217 |
| Seaspine Orthopedics Corporation | 1 | $150 |
| MML US, Inc. | 1 | $112 |
| Nevro Corp. | 3 | $98 |
| Medtronic(2 entities) | 2 | $57 |
| Collegium Pharmaceutical, Inc. | 2 | $43 |
| Pfizer | 2 | $30 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $16 |
| Surgalign Spine Technologies, 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.
- IdentiTi$1,528,650
- SafeOp$1,523,171
- TLIF$1,171,414
- MaXcess$1,026,806
- CoRoent$943,559
- Modulus$929,482
- Other - Miscellaneous$670,067
- COHERE$667,307
- Battalion PLIF - PS$189,907
- LIF$75,160
- Invictus MIS$33,886
- PSX$21,000
- XLIF$18,750
- FORGE Oblique$8,531
- Battalion TLIF - PC$8,516
- KODIAK$4,938
- Pulse$1,232
- BIOLOGICS$465
- RELINE$432
- MULTIPLE$388
How this compares
$4,264,199 in reported general payments places this provider in the 95th percentile of 61 orthopaedic surgery of the spine providers in Washington.
See all orthopaedic surgery of the spine providers in Washington →
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 |
|---|---|---|
| Oxycodone Hcl | 34 | $308 |
| Methocarbamol | 18 | $131 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $98 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Spokane
- John ShusterSpokane$124K
- Timothy PowersSpokane$44K
- Rajiv SethiSeattle$2.9M
- Mark FreebornKirkland$1.8M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
- Philip LouieSeattle$132K
- Nicholas SpinaSeattle$98K
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.