George Alsina, MD
Neurological Surgery · Bowling Green, KYNPI 1831161926
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,011 of the $6,064 with a category attached, or 66.2%. 17 manufacturers reported payments, led by Relievant Medsystems, Inc. at 26.9% of the total. Reporting peaked in 2023 at $2,316 and has fallen 75.3% since, to $573 in 2024.
Across 90 payments — averaging $67.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Relievant Medsystems, Inc.$2K
- Globus Medical$1K
- Si-bone, Inc.$844
- Stryker$773
- Medtronic$543
- Boston Scientific$361
- plus $822 from 11 others
What the payments were for
- Travel & lodging$2,01233%
- Food & beverage$4,01166%
- Education$401%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Relievant Medsystems, Inc. | 16 | $1,630 |
| Globus Medical | 7 | $1,091 |
| Si-bone, Inc. | 17 | $844 |
| Stryker | 11 | $773 |
| Medtronic(2 entities) | 11 | $543 |
| Boston Scientific | 9 | $361 |
| Johnson & Johnson | 5 | $248 |
| Abbott | 2 | $177 |
| Providence Medical Technology, Inc. | 2 | $102 |
| Arteriocyte Medical Systems, Inc. | 1 | $94 |
| Spineology Inc. | 1 | $45 |
| CSL Behring | 2 | $40 |
| Cerapedics Inc. | 1 | $37 |
| Osteocentric Technologies, Inc. | 1 | $22 |
| Surgalign Spine Technologies, Inc. | 1 | $22 |
| Baxter Healthcare | 1 | $18 |
| Sanara Medtech Inc. | 2 | $17 |
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.
- Intracept$2,385
- REFLECT/REFLECT HDE$574
- ExcelsiusGPS Robotic Navigation System$328
- YUKON OCT SPINAL SYSTEM$169
- EVEREST SPINAL SYSTEM$148
- Orbit-R Anterior Lumbar Disc$138
- VIPER$134
- MAZOR X SYSTEM$130
- PENTA$126
- TRITANIUM$122
- MazorX - Renaissance$121
How this compares
$6,064 in reported general payments places this provider in the 60th percentile of 99 neurological surgery providers in Kentucky.
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 | 34 | $273 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $121 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Bowling Green
- Narendra NathooBowling Green$11K
- Tom YaoLouisville$405K
- Joseph NeimatLouisville$196K
- Maria KoutourousiouLouisville$189K
- Shervin DashtiLouisville$146K
- Shawn AdamsLouisville$73K
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Nathaniel ToopLouisville$56K
- Thomas GruberPaducah$45K
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.