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James Fleming, MD

Orthopaedic Surgery of the Spine · Chillicothe, OHNPI 1952326159

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $103,500 of the $128,247 with a category attached, or 80.7%. Si-bone, Inc. accounts for 95.2% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2021 at $54,417 and has fallen 86.0% since, to $7,593 in 2025.

$128,247in general payments, 2019–2025

Across 312 payments — averaging $411.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Si-bone, Inc.$122K
  • Medtronic$2K
  • Medical Device Business Services, Inc.$2K
  • Johnson & Johnson$681
  • Nevro Corp.$440
  • Boston Scientific$134
  • plus $1K from 14 others
$7,600in research payments, 2019–2025

Across 1 payment — averaging $7600.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Medtronic$8K

What the payments were for

  • Consulting fees$103,50081%
  • Travel & lodging$13,28610%
  • Food & beverage$11,4619%

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
Si-bone, Inc.244$122,118
Medtronic(2 entities)26$2,166
Medical Device Business Services, Inc.10$1,701
Johnson & Johnson7$681
Nevro Corp.5$440
Boston Scientific1$134
Intrinsic Therapeutics1$131
Arteriocyte Medical Systems, Inc.1$128
Biocomposites Inc1$102
Augmedics Inc.2$96
Lifenet Health1$89
7d Surgical Inc.1$78
Smith+Nephew1$77
Orthofix Medical, Inc.3$72
Abbott2$72
Arthrex1$57
Choice Spine, LLC1$46
Trice Medical, Inc.2$27
Neurocrine Biosciences, Inc.1$20
Stryker1$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.

How this compares

$128,247 in reported general payments places this provider in the 85th percentile of 64 orthopaedic surgery of the spine providers in Ohio.

See all orthopaedic surgery of the spine providers in Ohio →

Medicare billing

Part B allowed, 2024
$86,671
Medicare patients
137
Services billed
337

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$109
Methylprednisolone12$100
Tramadol Hcl31$96
Oxycodone Hcl15$58

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Chillicothe

See the full list for Ohio →

Where these figures come from

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