Cristian Balcescu, MD
Orthopaedic Surgery of the Spine · Casper, WYNPI 1306231832
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (32.1%), education and food and beverage — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Medtronic at 41.6% of the total. Reporting peaked in 2024 at $5,576 and has fallen 93.4% since, to $369 in 2025.
Across 105 payments — averaging $132.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Evolution Surgical, Inc$4K
- Stryker$1K
- Globus Medical$1K
- Spineart USA Inc$1K
- Gemini Mountain Medical, LLC$67
- plus $197 from 8 others
What the payments were for
- Consulting fees$1,0007%
- Travel & lodging$4,46732%
- Food & beverage$4,17730%
- Education$4,27731%
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 | 55 | $5,790 |
| Evolution Surgical, Inc | 3 | $3,944 |
| Stryker | 8 | $1,410 |
| Globus Medical | 26 | $1,401 |
| Spineart USA Inc | 2 | $1,112 |
| Gemini Mountain Medical, LLC | 2 | $67 |
| KCI USA, Inc. | 2 | $44 |
| Organogenesis Inc. | 1 | $37 |
| Orthofix Medical, Inc. | 1 | $34 |
| Johnson & Johnson | 1 | $20 |
| Si-bone, Inc. | 1 | $20 |
| Smith+Nephew | 1 | $15 |
| Skeletal Dynamics Inc | 1 | $14 |
| Nevro Corp. | 1 | $14 |
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.
How this compares
Too few orthopaedic surgery of the spine providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Celecoxib | 42 | $1,366 |
| Gabapentin | 28 | $195 |
| Methylprednisolone | 14 | $130 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $112 |
| Tramadol Hcl | 14 | $36 |
| Meloxicam | 11 | $33 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Casper
- Marko TomovCasper$18K
- Wade JensenAfton$947K
- Christine DipompeoLaramie$22K
- Eric HarrisLaramie$16K
- Walter RecklingCheyenne$1K
- Mary NealJackson$117
- Lawrence JenkinsLaramie$91
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.