Betsy Grunch, MD
Neurological Surgery · Gainesville, GANPI 1265606644
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (43.9%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 53 manufacturers reported payments, led by Hyhte Holdings Inc. at 35.1% of the total. Among neurological surgery clinicians in GA 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 731 payments — averaging $1485.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hyhte Holdings Inc.$381K
- Spineology Inc.$190K
- Acadia Pharmaceuticals Inc$112K
- Choice Spine, LLC$109K
- Intrinsic Therapeutics$52K
- Nevro Corp.$49K
- plus $193K from 47 others
Across 28 payments — averaging $3282.40 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.
- Orthofix Medical, Inc.$49K
- Intrinsic Therapeutics$26K
- Surgalign Spine Technologies, Inc.$10K
- Centinel Spine, LLC$7K
Across 7 payments — averaging $17,513 each. An ownership or investment interest held by the physician or an immediate family member.
- Phasor Health, LLC$122K
- Spineology Inc.$272
What the payments were for
- Royalty or licence$476,35044%
- Consulting fees$322,34430%
- Speaking & faculty fees$160,55315%
- Travel & lodging$94,2929%
- Food & beverage$31,4323%
- Education$1260%
- Gifts$1540%
- Entertainment$3480%
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.
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.
- Olympic MIS$292,315
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$149,839
- NUPLAZID$112,000
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$94,625
- Harrier SA Lumbar Interbody System$91,058
- Senza$40,361
- nanoLOCK$32,135
- OptiMesh Interbody Fusion System$28,563
- MYSPINE$22,349
- Harrier SA$17,648
- ACTIVL ARTIFICIAL DISC$17,202
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$16,263
- CERVICAL PLATE$11,838
- OptiMesh Graft Containment$9,920
- Tiger Shark C$7,538
- Boomerang$7,538
- Omnia$7,433
- WaveWriter Alpha Prime 16$5,655
- GammaTile$3,631
- ASCENT;ASCENT LE;CENTURION$2,720
How this compares
$1,085,599 in reported general payments places this provider in the 95th percentile of 201 neurological surgery providers in Georgia.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 135 | $1,527 |
| Gabapentin | 80 | $1,077 |
| Oxycodone Hcl | 103 | $868 |
| Cyclobenzaprine Hcl | 79 | $669 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 67 | $584 |
| Pregabalin | 35 | $559 |
| Methocarbamol | 75 | $539 |
| Mupirocin | 71 | $495 |
| Tizanidine Hcl | 31 | $151 |
| Methylprednisolone | 22 | $117 |
| Tramadol Hcl | 31 | $92 |
| Meloxicam | 18 | $71 |
| Ondansetron Hcl | 11 | $37 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Gainesville
- Zain BoghaniGainesville$101K
- Karl SchultzGainesville$47K
- Regis HaidAtlanta$25.5M
- John CowanRome$3.2M
- Thomas MorrisonAtlanta$2.8M
- Christopher TomarasAtlanta$1.5M
- Daniel RefaiAtlanta$1.2M
- Gerald RodtsAtlanta$1.2M
- James RobinsonAtlanta$993K
- Michele JohnsonAtlanta$540K
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.