RxDoctor Payments Data

Jeremy Smith, MD

Orthopaedic Surgery of the Spine · Orange, CANPI 1629257688

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $593,768 of the $856,320 with a category attached, or 69.3%. Globus Medical accounts for 65.9% of it on its own, with 30 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$856,320in general payments, 2019–2025

Across 729 payments — averaging $1174.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$564K
  • Spineart USA Inc$144K
  • Spineart SA$91K
  • Surgalign Spine Technologies, Inc.$24K
  • Xtant Medical Inc$15K
  • Innovasis Inc$14K
  • plus $4K from 25 others
$65,325in research payments, 2019–2025

Across 46 payments — averaging $1420.11 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.

  • Globus Medical$65K

What the payments were for

  • Royalty or licence$593,76869%
  • Consulting fees$102,75012%
  • Travel & lodging$122,02814%
  • Food & beverage$37,7554%
  • Education$100%
  • Gifts$100%

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

$856,320 in reported general payments places this provider in the 90th percentile of 288 orthopaedic surgery of the spine providers in California.

See all orthopaedic surgery of the spine providers in California

Medicare billing

Part B allowed, 2024
$1,106,137
Medicare patients
1,011
Services billed
6,754

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
Teriparatide12$29,411
Gabapentin300$2,990
Lidocaine21$2,530
Pregabalin90$1,759
Oxycodone Hcl141$1,644
Celecoxib68$1,505
Baclofen124$1,451
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen94$1,228
Methocarbamol86$1,057
Prednisone310$732
Tramadol Hcl160$592
Meloxicam88$458
Duloxetine Hcl22$430
Famotidine243$346
Diclofenac Sodium20$298

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Alvogen IncTeriparatide$52$29,41112 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 288 orthopaedic surgery of the spine providers in California.

Other orthopaedic surgery of the spine in Orange

See the full list for California

Where these figures come from

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