James St Clair, MD
Orthopaedic Surgery of the Spine · Munster, INNPI 1942650700
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (59.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Globus Medical at 33.4% of the total. Reporting peaked in 2021 at $4,175 and has fallen 95.9% since, to $169 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in IN, where the typical reported total is $8,429.
Across 67 payments — averaging $125.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$3K
- Zimvie Inc.$1K
- Medwest Associates$1K
- Stryker$918
- Medical Device Business Services, Inc.$909
- Lightbody Medical Technologies Inc$371
- plus $982 from 11 others
What the payments were for
- Travel & lodging$4,99259%
- Food & beverage$2,23727%
- Education$1,20014%
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 |
|---|---|---|
| Globus Medical(2 entities) | 11 | $2,813 |
| Zimvie Inc. | 7 | $1,236 |
| Medwest Associates | 1 | $1,200 |
| Stryker | 14 | $918 |
| Medical Device Business Services, Inc. | 9 | $909 |
| Lightbody Medical Technologies Inc | 1 | $371 |
| Arthrex | 4 | $283 |
| Boston Scientific | 1 | $136 |
| Johnson & Johnson(2 entities) | 4 | $132 |
| Si-bone, Inc. | 3 | $121 |
| Orthofix Medical, Inc. | 4 | $112 |
| Spinal Elements, Inc. | 2 | $79 |
| Bioventus LLC | 2 | $39 |
| Smith+Nephew | 1 | $25 |
| Highridge Medical LLC | 1 | $21 |
| DJO, LLC | 1 | $20 |
| Amgen | 1 | $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.
- CORBEL$1,639
- SpF-XL IIb Implantable Spinal Fusion Stimulator$1,141
- XLIF$1,022
- EXPEDIUM$801
- EVEREST SPINAL SYSTEM$285
- STRYKER NAV3I$164
- VESUVIUS$161
- WaveWriter Alpha Prime 16$136
- MESA SPINAL SYSTEM$126
- YUKON OCT SPINAL SYSTEM$121
How this compares
$8,429 in reported general payments places this provider in the 50th percentile of 48 orthopaedic surgery of the spine providers in Indiana.
See all orthopaedic surgery of the spine providers in Indiana →
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 |
|---|---|---|
| Tizanidine Hcl | 156 | $1,622 |
| Gabapentin | 139 | $1,203 |
| Methocarbamol | 48 | $406 |
| Oxycodone Hcl | 43 | $267 |
| Methylprednisolone | 62 | $240 |
| Meloxicam | 123 | $178 |
| Diclofenac Sodium | 11 | $120 |
| Cyclobenzaprine Hcl | 20 | $52 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Munster
- Nitin KhannaMunster$702K
- Gregory McComisMunster$7K
- Rick SassoCarmel$1.6M
- David SchwartzIndianapolis$1.5M
- Zeshan HyderCrown Point$1.1M
- Gregory PoulterIndianapolis$995K
- Michael McMainsIndianapolis$686K
- Mohammad MajdNew Albany$504K
- Deepak ReddySouth Bend$496K
- Paul KraemerCarmel$276K
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.