RxDoctor Payments Data

David Wimberley

Orthopaedic Surgery of the Spine · Houston, TXNPI 1023006491

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $2,171,025 of the $2,205,503 with a category attached, or 98.4%. Depuy Synthes Products, Inc. accounts for 72.9% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2020 at $480,203 and has fallen 56.9% since, to $206,923 in 2025. Among orthopaedic surgery of the spine clinicians in TX 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.

$2,205,503in general payments, 2019–2025

Across 244 payments — averaging $9038.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Depuy Synthes Products, Inc.$1.6M
  • Alphatec Spine, Inc$547K
  • Aesculap Implant Systems, LLC$31K
  • Medical Device Business Services, Inc.$11K
  • Globus Medical$4K
  • Highridge Medical LLC$1K
  • plus $3K from 11 others

What the payments were for

  • Royalty or licence$2,171,02598%
  • Consulting fees$11,5021%
  • Travel & lodging$15,4651%
  • Food & beverage$7,4110%
  • Education$990%

General payments by program year

19
20
21
22
23
24
25

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.

How this compares

$2,205,503 in reported general payments places this provider in the 95th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas

Medicare billing

Part B allowed, 2024
$237,454
Medicare patients
357
Services billed
1,213

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

DrugClaimsCost to plans & patients
Gabapentin319$7,562
Pregabalin152$1,572
Methylprednisolone191$1,228
Diclofenac Sodium100$1,074
Celecoxib100$845
Meloxicam94$467
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen29$330
Ibuprofen31$181
Acetaminophen-CodeineAcetaminophen With Codeine17$175
Tizanidine Hcl33$103
Tramadol Hcl24$72
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim13$23
Diazepam21$21

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Houston

See the full list for Texas

Where these figures come from

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