RxDoctor Payments Data

Jeffrey Spaw, MD

Orthopaedic Surgery · College Station, TXNPI 1740239979

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (32.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. Encore Medical, LP accounts for 60.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $4,092 and has fallen 98.2% since, to $75 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in TX, where the typical reported total is $4,671.

$4,689in general payments, 2019–2025

Across 30 payments — averaging $156.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Encore Medical, LP$3K
  • Medinc Of Texas$1K
  • Smith+Nephew$173
  • Medical Device Business Services, Inc.$44
  • Treace Medical Concepts, Inc.$42
  • Next Science LLC$34
  • plus $226 from 11 others

What the payments were for

  • Speaking & faculty fees$1,50032%
  • Travel & lodging$1,29728%
  • Food & beverage$71815%
  • Education$1,17425%

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

$4,689 in reported general payments places this provider in the 50th percentile of 1,337 orthopaedic surgery providers in Texas.

See all orthopaedic surgery providers in Texas →

Medicare billing

Part B allowed, 2024
$190,084
Medicare patients
344
Services billed
3,243

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
Celecoxib92$3,043
Meloxicam496$1,802
Cephalexin135$1,562
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen121$994
Tramadol Hcl146$558
Acetaminophen-CodeineAcetaminophen With Codeine53$502
Naproxen42$403
Ketorolac Tromethamine14$226
Methylprednisolone27$193
Diclofenac Sodium16$186
Clindamycin Hcl21$100
Hydromorphone Hcl12$54
Levofloxacin12$36

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in College Station

See the full list for Texas →

Where these figures come from

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