RxDoctor Payments Data

Erik Spayde, MD

Orthopaedic Surgery · Thousand Oaks, CANPI 1609818822

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $1,071,121 of the $1,177,674 with a category attached, or 91.0%. 60 manufacturers reported payments, led by Globus Medical at 59.5% of the total. Reporting peaked in 2019 at $717,855 and has fallen 88.9% since, to $79,625 in 2025. Among orthopaedic surgery clinicians in CA 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.

$1,177,674in general payments, 2019–2025

Across 755 payments — averaging $1559.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$700K
  • Biogennix, LLC$372K
  • The Institute Of Musculoskeletal Science And Education$43K
  • Orthofix Medical, Inc.$23K
  • Seaspine Orthopedics Corporation$9K
  • Arteriocyte Medical Systems, Inc.$7K
  • plus $23K from 54 others
$137,449in research payments, 2019–2025

Across 23 payments — averaging $5976.06 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.$104K
  • Globus Medical$31K
  • Arteriocyte Medical Systems, Inc.$3K
$2,000,000in ownership & investment interests, 2019–2025

Across 4 payments — averaging $500,000 each. An ownership or investment interest held by the physician or an immediate family member.

  • Axiomed LLC$2M

What the payments were for

  • Royalty or licence$1,071,12191%
  • Consulting fees$61,5545%
  • Speaking & faculty fees$3,2000%
  • Travel & lodging$16,2251%
  • Food & beverage$25,5082%
  • Education$650%

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.

CompanyPaymentsTotal
Globus Medical(2 entities)301$700,465
Biogennix, LLC9$372,144
The Institute Of Musculoskeletal Science And Education15$42,562
Orthofix Medical, Inc.37$23,265
Seaspine Orthopedics Corporation21$9,343
Arteriocyte Medical Systems, Inc.8$6,609
Camber Spine Technologies LLC64$4,270
Axiomed LLC6$2,973
Baxter Healthcare11$2,798
Surgalign Spine Technologies, Inc.15$1,925
Spinefrontier, Inc.5$1,605
Biotronik NRO, Inc.25$1,187
Boston Scientific27$1,030
Medtronic(2 entities)22$928
Providence Medical Technology, Inc.9$834
Abbott16$832
Merit Medical Systems Inc39$796
Corelink, LLC6$340
Radius Health, Inc.11$301
Amgen(2 entities)10$222
Captiva Spine Inc1$216
Cerapedics Inc.8$214
Stryker7$207
Nevro Corp.4$179
Foundation Fusion Solutions, LLC1$163
Augmedics Inc.3$161
Si-bone, Inc.7$161
Centinel Spine, LLC1$158
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC9$152
Xtant Medical Inc1$144
DJO, LLC6$140
Stimwave Technologies Incorporated1$130
Johnson & Johnson5$106
Spineology Inc.3$94
Painteq LLC1$84
Spineart USA Inc1$80
GE HealthCare1$77
Vertex2$61
Curonix LLC2$52
Alphatec Spine, Inc2$50
Kowa Pharmaceuticals America, Inc.3$49
Saxum Surgical, Inc.2$48
Vertiflex, Inc.3$47
Fidia Pharma USA Inc.2$47
GRT US Holding, Inc.2$45
Integra Lifesciences Corporation2$45
SPR Therapeutics, Inc1$36
Electronic Waveform Lab, Inc.4$33
Edwards Lifesciences1$33
Bioventus LLC1$31
Spinal Simplicity, LLC2$29
AbbVie1$28
Relievant Medsystems, Inc.1$27
Davol Inc.1$23
Vertos Medical, Inc.1$23
Collegium Pharmaceutical, Inc.1$21
Innovation Technologies Inc1$19
Intrinsic Therapeutics1$16
Forte Bio-pharma LLC1$11
Terumo BCT, Inc.1$7

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

$1,177,674 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California

Medicare billing

Part B allowed, 2024
$2,886,065
Medicare patients
1,382
Services billed
10,486

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
Baclofen94$2,243
Gabapentin212$1,923
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen131$1,477
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen66$1,246
Meloxicam281$989
Pregabalin45$710
Celecoxib42$705
Methylprednisolone67$375
Tizanidine Hcl43$299
Tramadol Hcl78$282
Cyclobenzaprine Hcl22$258
Oxycodone Hcl25$246
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav74$245
Acetaminophen-CodeineAcetaminophen With Codeine12$171
Ibuprofen19$118

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Thousand Oaks

See the full list for California

Where these figures come from

Is this you, or does something look wrong? →