RxDoctor Payments Data

John Fisher, MD

Orthopaedic Surgery of the Spine · Philadelphia, PANPI 1073518056

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $32,000 of the $43,191 with a category attached, or 74.1%. Centinel Spine, LLC accounts for 75.2% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $14,946 and has fallen 60.8% since, to $5,866 in 2025.

$43,191in general payments, 2019–2025

Across 87 payments — averaging $496.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Centinel Spine, LLC$32K
  • Carlsmed, Inc.$3K
  • Globus Medical$2K
  • Alphatec Spine, Inc$2K
  • Hydrocision, Inc.$1K
  • Richard Wolf Medical Instruments Corp.$700
  • plus $1K from 11 others

What the payments were for

  • Consulting fees$32,00074%
  • Speaking & faculty fees$1,2253%
  • Travel & lodging$6,61415%
  • Food & beverage$3,3528%

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

$43,191 in reported general payments places this provider in the 70th percentile of 43 orthopaedic surgery of the spine providers in Pennsylvania.

See all orthopaedic surgery of the spine providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$281,863
Medicare patients
262
Services billed
716

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 orthopaedic surgery of the spine in Philadelphia

See the full list for Pennsylvania

Where these figures come from

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