Hiroyuki Yoshihara
Orthopaedic Surgery of the Spine · Lynchburg, VANPI 1316102650
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,093 of the $7,731 with a category attached, or 65.9%. 11 manufacturers reported payments, led by Globus Medical at 48.6% of the total. Reporting peaked in 2022 at $3,197 and has fallen 90.0% since, to $321 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in VA, where the typical reported total is $18,012.
Across 128 payments — averaging $60.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$4K
- Medtronic$1K
- Johnson & Johnson$967
- Stryker$578
- Nevro Corp.$477
- Kuros Biosciences USA, Inc$298
- plus $523 from 5 others
What the payments were for
- Travel & lodging$2,63834%
- Food & beverage$5,09366%
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 |
|---|---|---|
| Globus Medical(2 entities) | 59 | $3,760 |
| Medtronic | 8 | $1,128 |
| Johnson & Johnson | 36 | $967 |
| Stryker | 8 | $578 |
| Nevro Corp. | 9 | $477 |
| Kuros Biosciences USA, Inc | 1 | $298 |
| Boston Scientific | 2 | $174 |
| Highridge Medical LLC | 2 | $171 |
| Prosidyan, Inc | 1 | $120 |
| Si-bone, Inc. | 1 | $46 |
| Baudax Bio Inc. | 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.
- CD HORIZON$828
- ES2$488
- RELINE$422
- X-CORE$283
- Senza$266
- FIBERGRAFT$225
- Timberline$148
- TLX$147
- WaveWriter Alpha Prime 16$116
- XLIF$116
- SYNFIX$115
- VIPER$115
- COUGAR$115
- Vivigen MIS Delivery System$108
- Retrieve$107
How this compares
$7,731 in reported general payments places this provider in the 30th percentile of 43 orthopaedic surgery of the spine providers in Virginia.
See all orthopaedic surgery of the spine providers in Virginia →
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 |
|---|---|---|
| Diclofenac Sodium | 118 | $1,936 |
| Meloxicam | 253 | $727 |
| Cyclobenzaprine Hcl | 106 | $612 |
| Tizanidine Hcl | 52 | $440 |
| Methylprednisolone | 13 | $82 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Lynchburg
- Jed VanichkachornRichmond$2.3M
- Christopher GoodReston$1.7M
- John SimpsonRichmond$880K
- Colin HainesReston$700K
- Ehsan JaziniReston$502K
- Francis ShenCharlottesville$432K
- Jeffrey CarlsonNewport News$295K
- Thomas SciosciaRichmond$274K
- Thomas SullivanMidlothian$83K
- Corey WallachArlington$77K
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.