Ari Holtzman, MD
Orthopaedic Surgery of the Spine · Tacoma, WANPI 1427580760
Payments from drug & device makers
What this record shows
8 manufacturers reported payments, led by Alphatec Spine, Inc at 48.5% of the total. Reporting peaked in 2023 at $2,092 and has fallen 89.1% since, to $228 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in WA, where the typical reported total is $7,316.
Across 29 payments — averaging $120.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$2K
- Medtronic$997
- Johnson & Johnson$584
- Globus Medical$71
- Baxter Healthcare$50
- DJO, LLC$44
- plus $61 from 2 others
What the payments were for
- Travel & lodging$1,65547%
- Food & beverage$1,85053%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 5 | $1,698 |
| Medtronic | 8 | $997 |
| Johnson & Johnson | 7 | $584 |
| Globus Medical | 3 | $71 |
| Baxter Healthcare | 2 | $50 |
| DJO, LLC | 1 | $44 |
| Amgen | 2 | $43 |
| Si-bone, Inc. | 1 | $18 |
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.
- Other - Miscellaneous$1,655
- MAZOR X SYSTEM$751
- SYMPHONY$125
- Spine & Trauma 3D Navigation$108
How this compares
$3,505 in reported general payments places this provider in the 35th 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 |
|---|---|---|
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 12 | $736 |
| Oxycodone Hcl | 70 | $378 |
| Methocarbamol | 41 | $313 |
| Gabapentin | 22 | $218 |
| Cyclobenzaprine Hcl | 22 | $186 |
| Naproxen | 29 | $146 |
| Meloxicam | 47 | $131 |
| Methylprednisolone | 14 | $108 |
| Hydroxyzine Pamoate | 13 | $64 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Tacoma
- John BlairTacoma$8K
- Daniel KangTacoma$3K
- Michael MartinTacoma$2K
- Jos CoveTacoma$872
- Antoine TohmehSpokane$4.3M
- Rajiv SethiSeattle$2.9M
- Mark FreebornKirkland$1.8M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
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.