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James Bruffey, MD

Orthopaedic Surgery · la Jolla, CANPI 1447225446

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $910,882 of the $1,073,799 with a category attached, or 84.8%. Seaspine Orthopedics Corporation accounts for 64.4% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2020 at $202,869 and has fallen 79.4% since, to $41,751 in 2025. Among orthopaedic surgery clinicians in CA 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.

$1,073,799in general payments, 2019–2025

Across 372 payments — averaging $2886.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Seaspine Orthopedics Corporation$691K
  • Orthofix Medical, Inc.$360K
  • Silony Medical Corp.$9K
  • Neo Spine USA, Inc.$6K
  • Si-bone, Inc.$2K
  • Globus Medical$2K
  • plus $3K from 15 others

What the payments were for

  • Royalty or licence$910,88285%
  • Consulting fees$145,83114%
  • Travel & lodging$10,9731%
  • Food & beverage$6,1031%
  • Entertainment$100%

General payments by program year

19
20
21
22
23
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.

CompanyPaymentsTotal
Seaspine Orthopedics Corporation155$691,187
Orthofix Medical, Inc.127$359,896
Silony Medical Corp.10$9,125
Neo Spine USA, Inc.1$6,228
Si-bone, Inc.11$2,404
Globus Medical(2 entities)28$1,798
Medtronic10$717
Medacta USA, Inc.6$703
Alphatec Spine, Inc5$583
Curiteva, Inc.1$234
MML US, Inc.3$204
Intrinsic Therapeutics3$150
Bioventus LLC1$144
Spinal Elements, Inc.2$138
Lemaitre Vascular, Inc.1$83
Carbofix Spine Inc1$78
Stryker2$35
Baxter Healthcare2$35
Ossdsign USA Incorporated1$29
Surgalign Spine Technologies, Inc.1$24
Corelink, LLC1$7

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

$1,073,799 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California →

Medicare billing

Part B allowed, 2024
$426,407
Medicare patients
452
Services billed
1,360

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen160$3,625
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen43$495
Methylprednisolone56$318
Oxycodone Hcl38$233
Cyclobenzaprine Hcl54$224
Mupirocin25$185
Dexamethasone22$178
Methocarbamol19$146
Gabapentin21$113
Cephalexin40$110
Tramadol Hcl13$28

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in la Jolla

See the full list for California →

Where these figures come from

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