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Javier Reto, MD

Orthopaedic Surgery of the Spine · Huntsville, ALNPI 1073707816

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $640,881 of the $768,267 with a category attached, or 83.4%. 21 manufacturers reported payments, led by Globus Medical at 55.3% of the total. 2025 is the largest year on record at $249,196, more than ten times the $2,590 reported in 2019. Among orthopaedic surgery of the spine clinicians in AL 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.

$768,267in general payments, 2019–2025

Across 244 payments — averaging $3148.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$425K
  • Alphatec Spine, Inc$327K
  • Kuros Biosciences USA, Inc$8K
  • Intrinsic Therapeutics$3K
  • Cerapedics Inc.$2K
  • Orthofix Medical, Inc.$2K
  • plus $2K from 15 others

What the payments were for

  • Royalty or licence$640,88183%
  • Consulting fees$93,18012%
  • Travel & lodging$26,9614%
  • Food & beverage$7,0001%
  • Education$1980%
  • Gifts$480%

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
Globus Medical(2 entities)89$424,854
Alphatec Spine, Inc61$327,030
Kuros Biosciences USA, Inc6$7,869
Intrinsic Therapeutics14$3,263
Cerapedics Inc.5$2,047
Orthofix Medical, Inc.22$1,529
Arthrex3$283
Providence Medical Technology, Inc.1$198
Amgen13$197
Boston Scientific7$176
Medtronic1$155
Prime Surgical, LLC5$146
Carlsmed, Inc.4$134
Seaspine Orthopedics Corporation2$95
Curiteva, Inc.1$72
Abbott3$52
4web, Inc.1$47
Johnson & Johnson2$40
Si-bone, Inc.2$39
Radius Health, Inc.1$22
Trackx Technology, Inc.1$19

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

$768,267 in reported general payments places this provider in the 95th percentile of 20 orthopaedic surgery of the spine providers in Alabama.

See all orthopaedic surgery of the spine providers in Alabama →

Medicare billing

Part B allowed, 2024
$335,282
Medicare patients
398
Services billed
1,691

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
Methylprednisolone186$1,587
Methocarbamol177$1,457
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen49$929
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen37$371
Tramadol Hcl29$104
Cyclobenzaprine Hcl13$84
Gabapentin13$66
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim12$44
Meloxicam16$42

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Huntsville

See the full list for Alabama →

Where these figures come from

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