George Elkanich, MD
Orthopaedic Surgery of the Spine · Las Vegas, NVNPI 1437148442
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $213,541 of the $321,797 with a category attached, or 66.4%. Precision Spine, Inc. accounts for 86.5% of it on its own, with 25 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in NV 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 329 payments — averaging $978.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$278K
- Providence Medical Technology, Inc.$13K
- Omnia Medical, LLC$12K
- Medtronic$6K
- Nevro Corp.$5K
- Nexxt Spine LLC$3K
- plus $4K from 20 others
What the payments were for
- Royalty or licence$213,54166%
- Consulting fees$82,66526%
- Speaking & faculty fees$1,6000%
- Travel & lodging$7980%
- Food & beverage$23,1947%
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 |
|---|---|---|
| Precision Spine, Inc. | 47 | $278,419 |
| Providence Medical Technology, Inc. | 78 | $13,064 |
| Omnia Medical, LLC | 3 | $11,500 |
| Medtronic(2 entities) | 86 | $6,127 |
| Nevro Corp. | 52 | $5,259 |
| Nexxt Spine LLC | 3 | $3,224 |
| Abbott | 17 | $986 |
| Spinal Elements, Inc. | 6 | $791 |
| Globus Medical(2 entities) | 4 | $606 |
| Stryker | 6 | $475 |
| Centinel Spine, LLC | 1 | $340 |
| Cerapedics Inc. | 2 | $190 |
| Ossdsign USA Incorporated | 3 | $165 |
| Acera Surgical, Inc. | 3 | $153 |
| Life Spine, Inc. | 1 | $121 |
| Biotronik NRO, Inc. | 3 | $92 |
| Si-bone, Inc. | 3 | $64 |
| Sanara Medtech Inc. | 2 | $63 |
| Zimmer Biomet | 2 | $37 |
| Organogenesis Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $20 |
| Smith+Nephew | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Convatec Inc. | 1 | $15 |
| International Rehabilitative Sciences, Inc | 1 | $15 |
| Innovation Technologies Inc | 1 | $14 |
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.
- INTERVERTEBRAL BODY FUSION DEVICE$138,380
- RCS ANTERIOR BUTTRESS PLATE SYSTEM$137,765
- Vault ALIF$129,981
- ShurFit MALIF Interbody System$106,514
- BUTTRESS PLATE$40,763
- MALIF$40,763
- SHURFIT MALIF SYSTEM$31,736
- ALIF$4,375
- INTELLIS ADAPTIVESTIM$3,259
- Omnia$3,225
- SI System$3,008
- Next Gen Interbody System$1,875
- NEXT GEN STAND ALONE ALIF$1,500
- Medical Devices$1,259
- DAKOTA ALIF SYSTEM$1,259
- Senza$1,149
- INCEPTIV$760
- Next Gen Stand Alone Lumbar System$750
- PENTA$472
- MYSTIM$456
How this compares
$321,797 in reported general payments places this provider in the 95th percentile of 30 orthopaedic surgery of the spine providers in Nevada.
See all orthopaedic surgery of the spine providers in Nevada →
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.
Other orthopaedic surgery of the spine in Las Vegas
- Kornelis PoelstraLas Vegas$2.2M
- John ThalgottLas Vegas$320K
- Mark KabinsLas Vegas$118K
- Hugh BassewitzLas Vegas$54K
- Daniel LeeLas Vegas$52K
- Chinedu NwasikeLas Vegas$42K
- Kevin DebiparshadLas Vegas$37K
- Andrew LeeLas Vegas$31K
- Edward AndersonLas Vegas$14K
- Daniel LecavalierLas Vegas$8K
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.