RxDoctor Payments Data

James Lynch, MD

Neurological Surgery · Reno, NVNPI 1942291810

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $109,998 of the $111,996 with a category attached, or 98.2%. Spinal Simplicity, LLC accounts for 98.2% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $62,730 and has fallen 99.8% since, to $124 in 2025.

$111,996in general payments, 2019–2025

Across 21 payments — averaging $5333.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Spinal Simplicity, LLC$110K
  • Augmedics Inc.$356
  • Globus Medical$345
  • Seaspine Orthopedics Corporation$334
  • Orthofix Medical, Inc.$201
  • Johnson & Johnson$162
  • plus $600 from 6 others
$99,790in ownership & investment interests, 2019–2025

Across 9 payments — averaging $11,088 each. An ownership or investment interest held by the physician or an immediate family member.

  • Spinal Simplicity, LLC$100K
  • The Orthopaedic Implant Company$0

What the payments were for

  • Consulting fees$109,99898%
  • Travel & lodging$5590%
  • Food & beverage$1,4391%

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.

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

$111,996 in reported general payments places this provider in the 80th percentile of 45 neurological surgery providers in Nevada.

See all neurological surgery providers in Nevada

Medicare billing

Part B allowed, 2024
$354,295
Medicare patients
489
Services billed
1,182

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.

Other neurological surgery in Reno

See the full list for Nevada

Where these figures come from

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