Avery Buchholz
Neurological Surgery · Orlando, FLNPI 1821319682
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (39.9%), speaking fees and royalties or licence payments — rather than concentrated in one kind of arrangement. 41 manufacturers reported payments, led by Medtronic at 58.8% of the total. Among neurological surgery clinicians in FL 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 716 payments — averaging $1103.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$465K
- Hyhte Holdings Inc.$80K
- Surgentec$70K
- Alphatec Spine, Inc$59K
- Si-bone, Inc.$52K
- Siemens Medical Solutions USA, Inc.$22K
- plus $43K from 35 others
Across 17 payments — averaging $5987.62 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.
- Si-bone, Inc.$53K
- Medtronic$38K
- Globus Medical$11K
What the payments were for
- Royalty or licence$165,56421%
- Consulting fees$315,22340%
- Speaking & faculty fees$227,30229%
- Travel & lodging$59,6318%
- Food & beverage$22,5063%
- Entertainment$1380%
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 |
|---|---|---|
| Medtronic(2 entities) | 449 | $464,613 |
| Hyhte Holdings Inc. | 1 | $79,902 |
| Surgentec | 2 | $70,300 |
| Alphatec Spine, Inc | 58 | $59,018 |
| Si-bone, Inc. | 47 | $51,629 |
| Siemens Medical Solutions USA, Inc. | 23 | $22,241 |
| Globus Medical(2 entities) | 42 | $11,349 |
| Surgical Theater. Inc. | 18 | $11,094 |
| Happe Spine | 1 | $7,673 |
| Viseon, Inc. | 3 | $3,216 |
| Synthes GmbH | 2 | $2,250 |
| Integrity Implants Inc. | 3 | $1,043 |
| Zimvie Inc. | 4 | $814 |
| Carbofix Spine Inc | 7 | $602 |
| Spineart USA Inc | 1 | $590 |
| Titan Spine, LLC | 3 | $531 |
| MML US, Inc. | 3 | $528 |
| Boston Scientific | 8 | $477 |
| Sanara Medtech Inc. | 4 | $419 |
| Medicrea USA, Corp. | 3 | $244 |
| Carlsmed, Inc. | 5 | $217 |
| Arthrex | 4 | $205 |
| EBI, LLC | 1 | $137 |
| Highridge Medical LLC | 1 | $137 |
| Stryker | 2 | $131 |
| Integrity Implants Inc. Dba Accelus | 1 | $121 |
| 7d Surgical Inc. | 1 | $116 |
| Providence Medical Technology, Inc. | 2 | $106 |
| Abbott | 4 | $86 |
| Biocomposites Inc | 1 | $86 |
| Life Spine, Inc. | 1 | $75 |
| Xenix Medical LLC | 1 | $74 |
| Cerapedics Inc. | 1 | $69 |
| Elevation Spine, Inc. | 1 | $48 |
| Osteocentric Technologies, Inc. | 1 | $48 |
| Orthofix Medical, Inc. | 2 | $48 |
| Reel Surgical, Inc. | 1 | $32 |
| Polynovo North America LLC | 1 | $31 |
| Solventum Corporation | 1 | $27 |
| Nevro Corp. | 1 | $25 |
| Inspiremd Ltd | 1 | $15 |
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.
- MazorX - Renaissance$105,776
- Masada, Dominion$79,902
- Other - Miscellaneous$55,042
- IFUSE IMPLANT SYSTEM$50,195
- CD HORIZON$46,603
- MAZOR X SYSTEM$45,093
- TiLink$25,900
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$19,416
- StealthStation$19,104
- Mazor X Stealth Edition$12,274
- CD HORIZON SPINAL SYSTEM$9,080
- XLIF$8,711
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$7,820
- INTEGRATE-C$7,673
- T2 ALTITUDE$5,510
- T2 STRATOSPHERE$5,510
- UNiD$5,417
- O-ARM$5,102
- CLYDESDALE$4,640
- Voyant System$3,200
How this compares
$790,364 in reported general payments places this provider in the 95th percentile of 556 neurological surgery providers in Florida.
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 | 11 | $161 |
| Meloxicam | 11 | $18 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Orlando
- Kim ManwaringOrlando$5M
- Hunaldo VillalobosOrlando$517K
- Virgilio MatheusOrlando$485K
- Jogi PattisapuOrlando$238K
- Joseph WehmanOrlando$167K
- Jay VachhaniOrlando$149K
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Paul SawinWinter Park$3M
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.