Issada Thongtrangan, MD
Orthopaedic Surgery · Scottsdale, AZNPI 1144439555
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (37.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Nexxt Spine LLC at 29.1% of the total.
Across 125 payments — averaging $268.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$10K
- Spineology Inc.$3K
- Elliquence, LLC$3K
- Alphatec Spine, Inc$2K
- Abbott$2K
- CTL Medical Corporation$2K
- plus $11K from 24 others
What the payments were for
- Royalty or licence$2,4087%
- Consulting fees$12,57337%
- Speaking & faculty fees$1,5004%
- Travel & lodging$10,58631%
- Food & beverage$6,55519%
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 |
|---|---|---|
| Nexxt Spine LLC | 13 | $9,794 |
| Spineology Inc. | 6 | $3,054 |
| Elliquence, LLC | 1 | $3,000 |
| Alphatec Spine, Inc | 11 | $2,223 |
| Abbott | 14 | $2,197 |
| CTL Medical Corporation | 1 | $2,100 |
| Solco Biomedical Corporation | 1 | $2,000 |
| Arthrex | 9 | $1,239 |
| Providence Medical Technology, Inc. | 8 | $1,177 |
| Relievant Medsystems, Inc. | 8 | $1,095 |
| Integrity Implants Inc. | 4 | $999 |
| Osteocentric Technologies, Inc. | 5 | $855 |
| Integrity Implants Inc. Dba Accelus | 9 | $783 |
| Centinel Spine, LLC | 7 | $695 |
| Impactortho, Inc. | 4 | $679 |
| Si-bone, Inc. | 4 | $375 |
| Cerapedics Inc. | 1 | $221 |
| Surgalign Spine Technologies, Inc. | 2 | $186 |
| Stryker | 3 | $164 |
| Foundation Fusion Solutions, LLC | 1 | $144 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $119 |
| Spineart USA Inc | 1 | $119 |
| Spinal Elements, Inc. | 1 | $110 |
| Nevro Corp. | 3 | $79 |
| Arteriocyte Medical Systems, Inc. | 1 | $72 |
| Life Spine, Inc. | 1 | $70 |
| Pfizer | 2 | $24 |
| Vertex | 1 | $21 |
| Kuros Biosciences USA, Inc | 1 | $16 |
| SPR Therapeutics, 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.
- SI System$5,274
- Nexxt Matrixx SI Helixx$2,408
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$2,270
- Raphael Pedicle Screw System$2,100
- Helixx SI$1,170
- Intracept$1,071
- SI Development$802
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$730
- FlareHawk$716
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$664
- INFINITY$646
- PROCLAIM$610
- Rampart One Interbody Fusion System$410
- iFuse Implant$354
- RAMPART ONE LUMBAR INTERBODY FUSION SYSTEM$324
- OCTRODE$317
- PENTA$264
- Nexxt Spine Product Offerings$217
- PRODISC L$171
- ETERNA$168
How this compares
$33,622 in reported general payments places this provider in the 85th percentile of 377 orthopaedic surgery providers in Arizona.
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 |
|---|---|---|
| Pregabalin | 11 | $908 |
| Gabapentin | 60 | $459 |
| Methylprednisolone | 69 | $384 |
| Cyclobenzaprine Hcl | 42 | $300 |
| Oxycodone Hcl | 25 | $146 |
| Cephalexin | 31 | $116 |
| Ondansetron Hcl | 30 | $103 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $63 |
| Meloxicam | 14 | $16 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Scottsdale
- Paul GauseScottsdale$614K
- Bertrand KaperScottsdale$482K
- David CamarataScottsdale$406K
- David BailieScottsdale$249K
- Shane MartinScottsdale$244K
- Sherwood DuhonScottsdale$229K
- John BradwayScottsdale$219K
- Krishna MallikScottsdale$79K
- Timothy KavanaughScottsdale$71K
- Laura ProkuskiScottsdale$58K
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.