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.
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
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
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
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.
- Morpheus$312,337
- RELINE$250,000
- Spira$41,053
- Pulse$20,954
- Orthros$11,906
- Graft Delivery System$7,400
- Triad$7,361
- Magellan$5,743
- ALIF$4,862
- Freedom Lumbar Disc$2,877
- FLOSEAL$2,565
- XLIF$1,831
- InSpan$1,589
- NanoFuse$1,589
- Sacrix$1,269
- MISCELLANEOUS$1,048
- Excelsius Robotics System$1,047
- STREAMLINE TL SPINAL FIXATION SYSTEM$945
- FORTILINK CAGES WITH TIPLUS TECHNOLOGY$813
- ARAI SURGICAL NAVIGATION SYSTEM$813
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.
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 |
|---|---|---|
| Baclofen | 94 | $2,243 |
| Gabapentin | 212 | $1,923 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 131 | $1,477 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 66 | $1,246 |
| Meloxicam | 281 | $989 |
| Pregabalin | 45 | $710 |
| Celecoxib | 42 | $705 |
| Methylprednisolone | 67 | $375 |
| Tizanidine Hcl | 43 | $299 |
| Tramadol Hcl | 78 | $282 |
| Cyclobenzaprine Hcl | 22 | $258 |
| Oxycodone Hcl | 25 | $246 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 74 | $245 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $171 |
| Ibuprofen | 19 | $118 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Thousand Oaks
- Bradford HackArcadia$18.3M
- Robert GorabOrange$13.6M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.6M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
- Peter NewtonSan Diego$4.2M
- Sigurd BervenSan Francisco$4.1M
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.