RxDoctor Payments Data

Jack Williamson, MD

Orthopaedic Surgery of the Spine · Houston, TXNPI 1437147642

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 6 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 6 manufacturers reported payments, led by Alphatec Spine, Inc at 24.4% of the total. 2025 is the largest year on record at $286, 8.5 times the $33 reported in 2020. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TX, where the typical reported total is $12,726.

$607in general payments, 2019–2025

Across 6 payments — averaging $101.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Alphatec Spine, Inc$148
  • Aesculap Implant Systems, LLC$140
  • Smith+Nephew$117
  • Johnson & Johnson$108
  • Cerapedics Inc.$61
  • Medtronic$33

What the payments were for

  • Food & beverage$607100%

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

20
21
24
25

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.

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.

How this compares

$607 in reported general payments places this provider in the 10th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas →

Medicare billing

Part B allowed, 2024
$379,232
Medicare patients
475
Services billed
2,144

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

DrugClaimsCost to plans & patients
Tizanidine Hcl547$6,651
Meloxicam864$3,874
Celecoxib123$2,492
Gabapentin161$2,045
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen162$1,677
Methocarbamol106$1,456
Prednisone329$1,451
Diclofenac Sodium120$1,277
Methylprednisolone159$870
Cyclobenzaprine Hcl61$558
Pregabalin24$389
Cephalexin90$381
Baclofen32$319
Acetaminophen-CodeineAcetaminophen With Codeine36$297
Ibuprofen28$279

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Houston

See the full list for Texas →

Where these figures come from

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