RxDoctor Payments Data

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.

$4,264,199in general payments, 2019–2025

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
$108,130in research payments, 2019–2025

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

19
20
21
22
23
24
25

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.

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.

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

Part B allowed, 2024
$84,428
Medicare patients
113
Services billed
290

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

DrugClaimsCost to plans & patients
Oxycodone Hcl34$308
Methocarbamol18$131
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen11$98

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Spokane

See the full list for Washington

Where these figures come from

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