Brian Karamian
Orthopaedic Surgery of the Spine · Palo Alto, CANPI 1629465182
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Depuy Synthes Products, Inc. at 30.4% of the total. 2025 is the largest year on record at $12,288, 5.2 times the $2,368 reported in 2019.
Across 73 payments — averaging $341.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$8K
- Kuros Biosciences USA, Inc$8K
- Synthes GmbH$3K
- Evolution Surgical, Inc$2K
- Globus Medical$2K
- Medical Device Business Services, Inc.$930
- plus $2K from 8 others
What the payments were for
- Consulting fees$12,36050%
- Speaking & faculty fees$1,5006%
- Travel & lodging$5,46322%
- Food & beverage$3,21213%
- Education$2,36810%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 12 | $7,573 |
| Kuros Biosciences USA, Inc | 15 | $7,503 |
| Synthes GmbH | 4 | $2,922 |
| Evolution Surgical, Inc | 1 | $2,368 |
| Globus Medical(2 entities) | 21 | $1,954 |
| Medical Device Business Services, Inc. | 2 | $930 |
| Alphatec Spine, Inc | 2 | $405 |
| Johnson & Johnson | 6 | $352 |
| Stryker | 4 | $233 |
| EBI, LLC | 1 | $208 |
| Medtronic | 1 | $198 |
| Highridge Medical LLC | 1 | $148 |
| VB Spine LLC | 2 | $87 |
| Spineology Inc. | 1 | $23 |
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.
- MagnetOs$7,249
- Velys$1,861
- XLIF$1,134
- TLIF$578
- RISE$279
- LIF$250
- CASCADIA INTERBODY SYSTEM$168
- ExcelsiusGPS Robotic Navigation System$150
- MOBI-C PLUG & FIT US$148
- Vivigen MIS Delivery System$114
- Teligen$103
How this compares
$24,903 in reported general payments places this provider in the 55th percentile of 288 orthopaedic surgery of the spine providers in California.
See all orthopaedic surgery of the spine providers in California →
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.
Other orthopaedic surgery of the spine in Palo Alto
- Hyun BaeSanta Monica$56.8M
- Choll KimSan Diego$4M
- Stacey BedermanOrange$3.7M
- Gregory Mundisla Jolla$3.3M
- Paul SlosarDaly City$3.1M
- Babak Barcohanavan Nuys$2.9M
- Neelakantan AnandLos Angeles$2.9M
- Sanjay KhuranaMarina del Rey$2.3M
- Neville AlleyneOceanside$2.2M
- Rick DelamarterSanta Monica$2.2M
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.