Felipe Ramirez-Terrassa, MD
Orthopaedic Surgery of the Spine · New Orleans, LANPI 1780868802
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.7%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Mirus, LLC at 33.6% of the total. Reporting peaked in 2023 at $6,342 and has fallen 96.8% since, to $201 in 2025.
Across 130 payments — averaging $113.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mirus, LLC$5K
- Alphatec Spine, Inc$4K
- Surgalign Spine Technologies, Inc.$2K
- Globus Medical$1K
- Integrity Implants Inc. Dba Accelus$599
- Johnson & Johnson$324
- plus $2K from 19 others
What the payments were for
- Consulting fees$1,50010%
- Travel & lodging$5,71039%
- Food & beverage$5,28936%
- Entertainment$2,17015%
- Other$861%
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 |
|---|---|---|
| Mirus, LLC | 10 | $4,963 |
| Alphatec Spine, Inc | 21 | $4,129 |
| Surgalign Spine Technologies, Inc. | 2 | $1,608 |
| Globus Medical | 14 | $1,166 |
| Integrity Implants Inc. Dba Accelus | 8 | $599 |
| Johnson & Johnson(2 entities) | 17 | $324 |
| Zimmer Biomet | 4 | $283 |
| Medtronic(2 entities) | 8 | $255 |
| Carlsmed, Inc. | 2 | $227 |
| Stryker | 6 | $221 |
| Zimvie Inc. | 2 | $186 |
| Pacira Therapeutics, Inc. | 9 | $169 |
| Providence Medical Technology, Inc. | 2 | $159 |
| Si-bone, Inc. | 8 | $144 |
| Heron Therapeutics, Inc. | 2 | $56 |
| Amgen | 3 | $43 |
| Integrity Implants Inc. | 1 | $35 |
| Spine Wave, Inc. | 2 | $35 |
| Pacira Pharmaceuticals Incorporated | 2 | $34 |
| Sanofi-aventis U.S. LLC | 2 | $28 |
| Terumo BCT, Inc. | 1 | $26 |
| EMD Serono, Inc. | 1 | $20 |
| Zyla Life Sciences, Inc. | 1 | $16 |
| Smith+Nephew | 1 | $16 |
| ERMI LLC | 1 | $13 |
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.
- EUROPA Pedicle Screw System$4,948
- CYGNUS Anterior Cervical Plate$4,948
- 3DR Lumbar Interbody$4,948
- RIGEL 3DR Cervical Interbody$4,948
- Other - Miscellaneous$2,129
- FORTILINK CAGES WITH TIPLUS TECHNOLOGY$1,608
- ELSA ATP$651
- MULTIPLE$477
- FlareHawk$265
- Sable$147
- Mobi-C$136
- aprevo$133
How this compares
$14,755 in reported general payments places this provider in the 55th percentile of 29 orthopaedic surgery of the spine providers in Louisiana.
See all orthopaedic surgery of the spine providers in Louisiana →
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 |
|---|---|---|
| Gabapentin | 161 | $2,235 |
| Tramadol Hcl | 173 | $1,704 |
| Diclofenac Potassium | 56 | $853 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $844 |
| Methocarbamol | 32 | $732 |
| Tizanidine Hcl | 64 | $696 |
| Cyclobenzaprine Hcl | 55 | $616 |
| Diclofenac Sodium | 47 | $555 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 36 | $449 |
| Celecoxib | 30 | $442 |
| Methylprednisolone | 38 | $310 |
| Ibuprofen | 23 | $251 |
| Pregabalin | 21 | $229 |
| Meloxicam | 19 | $52 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in New Orleans
- Mathew CyriacNew Orleans$368K
- Charles YuNew Orleans$52K
- William AccoustiNew Orleans$46K
- Amit BhandutiaNew Orleans$39K
- Andrew ToddNew Orleans$12K
- Parth DesaiNew Orleans$6K
- Andrew KingNew Orleans$5K
- Caroline SchneiderNew Orleans$641
- Paul DimartinoNew Orleans$165
- Joseph ZavatskyMetairie$205K
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.