Anup Gangavalli, MD
Orthopaedic Surgery · Richmond, VANPI 1790049013
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $104,068 of the $127,488 with a category attached, or 81.6%. Flospine LLC accounts for 66.6% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2023 at $77,150 and has fallen 67.8% since, to $24,866 in 2025. Among orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 258 payments — averaging $494.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Flospine LLC$85K
- Choice Spine, LLC$16K
- Zavation Medical Products, LLC$5K
- Abbott$5K
- Baxter Healthcare$3K
- Medtronic$3K
- plus $11K from 28 others
What the payments were for
- Consulting fees$104,06882%
- Speaking & faculty fees$4,0003%
- Travel & lodging$6,2675%
- Food & beverage$13,02910%
- Education$650%
- Entertainment$600%
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 |
|---|---|---|
| Flospine LLC | 16 | $84,884 |
| Choice Spine, LLC | 6 | $15,741 |
| Zavation Medical Products, LLC | 3 | $4,933 |
| Abbott | 118 | $4,650 |
| Baxter Healthcare | 4 | $3,334 |
| Medtronic | 7 | $2,993 |
| Cerapedics Inc. | 11 | $2,835 |
| Stryker | 11 | $1,122 |
| Spinal Elements, Inc. | 11 | $948 |
| Trackx Technology, Inc. | 4 | $799 |
| Augmedics Inc. | 15 | $571 |
| Zimvie Inc. | 5 | $534 |
| Fortis Surgical, LLC | 4 | $531 |
| Arthrex | 3 | $482 |
| Spineology Inc. | 8 | $443 |
| Integrity Implants Inc. Dba Accelus | 3 | $377 |
| Boston Scientific | 2 | $254 |
| MML US, Inc. | 1 | $246 |
| Acelrx Pharmaceuticals, Inc. | 3 | $240 |
| Royal Biologics, Inc. | 1 | $166 |
| Sanara Medtech Inc. | 1 | $145 |
| Johnson & Johnson | 3 | $139 |
| Innovation Technologies Inc | 1 | $135 |
| Precision Spine, Inc. | 1 | $132 |
| Alphatec Spine, Inc | 1 | $127 |
| Globus Medical | 2 | $119 |
| Elevation Spine, Inc. | 1 | $119 |
| Kyocera Medical Technologies, Inc. | 1 | $88 |
| Orthofix Medical, Inc. | 2 | $78 |
| Bioventus LLC | 1 | $78 |
| DJO, LLC | 2 | $69 |
| Si-bone, Inc. | 3 | $69 |
| Intrinsic Therapeutics | 1 | $53 |
| Centinel Spine, LLC | 2 | $52 |
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.
- Canaveral Deformity Pedicle Screw System$28,275
- Canaveral MIS Pedicle Screw System$19,570
- Ti-Largo Cervical Cage System$14,300
- Thunderbolt Minimally Invasive Pedicle Screw Systems$13,141
- Expandable TLIF System$13,115
- Blackhawk Cervical Spacer System$12,491
- VEO Lateral Interbody Fusion System$12,491
- Triton$12,491
- Stratofuse$12,491
- Canaveral Pedicle Screw System$8,650
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$8,089
- ACTIFUSE$3,083
- INTELLIS ADAPTIVESTIM$2,752
- PELVIC FIXATION$2,600
- Panama Anterior Cervical Plate System$900
- Proclaim Family of SCS IPGs$654
- Medical Device$638
- Xvision$558
- Proclaim IPG$477
- AERO$465
How this compares
$127,488 in reported general payments places this provider in the 90th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Tizanidine Hcl | 770 | $2,674 |
| Meloxicam | 524 | $1,066 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 29 | $243 |
| Cyclobenzaprine Hcl | 34 | $201 |
| Methylprednisolone | 34 | $170 |
| Oxycodone Hcl | 14 | $93 |
| Tramadol Hcl | 40 | $92 |
| Gabapentin | 21 | $73 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Richmond
- Colin MudrickRichmond$424K
- Matthew WalkerRichmond$265K
- Michael WindRichmond$178K
- Ryan RobertsonRichmond$133K
- Jonathan IsaacsRichmond$92K
- Norman BoardmanRichmond$91K
- Gregory GolladayRichmond$52K
- Christopher KesterRichmond$45K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
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.