John Steck, MD
Neurological Surgery · Marrero, LANPI 1366488462
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (47.7%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Precision Spine, Inc. accounts for 77.8% of it on its own, with 32 other manufacturers making up the rest. Reporting peaked in 2019 at $45,936 and has fallen 98.3% since, to $763 in 2025.
Across 114 payments — averaging $977.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$87K
- Medyssey USA, Inc$11K
- Globus Medical$8K
- Alphatec Spine, Inc$2K
- The Institute Of Musculoskeletal Science And Education$1K
- Corelink, LLC$218
- plus $2K from 27 others
What the payments were for
- Royalty or licence$51,46146%
- Consulting fees$53,15948%
- Travel & lodging$3,6263%
- Food & beverage$3,1823%
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 |
|---|---|---|
| Precision Spine, Inc. | 14 | $86,725 |
| Medyssey USA, Inc | 2 | $11,450 |
| Globus Medical(2 entities) | 46 | $7,895 |
| Alphatec Spine, Inc | 10 | $2,366 |
| The Institute Of Musculoskeletal Science And Education | 5 | $1,083 |
| Corelink, LLC | 2 | $218 |
| Wenzel Spine, Inc. | 1 | $171 |
| Orthofix Medical, Inc. | 1 | $165 |
| Stryker | 1 | $149 |
| 4web, Inc. | 1 | $147 |
| Integrity Implants Inc. Dba Accelus | 1 | $123 |
| Carlsmed, Inc. | 1 | $120 |
| Zimmer Biomet | 1 | $118 |
| Longeviti Neuro Solutions Inc | 1 | $116 |
| Cerapedics Inc. | 1 | $113 |
| Medtronic(2 entities) | 4 | $62 |
| Amgen | 3 | $57 |
| Nevro Corp. | 2 | $51 |
| Biogen | 2 | $33 |
| Abbott | 2 | $31 |
| Neurocrine Biosciences, Inc. | 1 | $26 |
| Merz Pharmaceuticals, LLC | 1 | $24 |
| Si-bone, Inc. | 1 | $21 |
| Innovation Technologies Inc | 1 | $18 |
| Eisai Inc. | 1 | $18 |
| Organogenesis Inc. | 1 | $18 |
| Silk Road Medical, Inc. | 1 | $18 |
| Saluda Medical Americas, Inc. | 1 | $18 |
| AbbVie | 1 | $17 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $13 |
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.
- Reform Modular$83,048
- Reform Pedicle Screw System$3,677
- ELLIPSE OCCIPITAL (Royalty)$2,467
- ELLIPSE$1,448
- ELLIPSE Addition -C$1,447
- Other - Miscellaneous$1,285
- TLIF$976
- XLIF$761
- Spira-V$681
- Trinity ELITE$329
- Pulse$250
- POWER$250
- Varilift$171
- IVS - IVAS$149
- SPINE TRUSS SYSTEM$147
- LessRay$136
- aprevo$120
- Neuro Plating System$118
- CLEARFIT$116
- InvisiShunt Implant Kit$116
How this compares
$111,428 in reported general payments places this provider in the 85th percentile of 116 neurological surgery providers in Louisiana.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 247 | $8,653 |
| Lidocaine | 18 | $4,062 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 74 | $2,141 |
| Tizanidine Hcl | 85 | $1,641 |
| Gabapentin | 108 | $1,207 |
| Oxycodone Hcl | 45 | $967 |
| Cyclobenzaprine Hcl | 48 | $421 |
| Ibuprofen | 14 | $208 |
| Baclofen | 11 | $180 |
| Methocarbamol | 16 | $174 |
| Alendronate Sodium | 12 | $84 |
| Meloxicam | 12 | $11 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Marrero
- Justin OwenMarrero$201K
- Anthony SinShreveport$1.5M
- Sebastian KogaHammond$720K
- Eric OberlanderBaton Rouge$660K
- Najeeb ThomasMetairie$440K
- Gabriel TenderNew Orleans$255K
- Daniel DenisKenner$198K
- Brian KelleyLake Charles$193K
- Jason CormierLafayette$178K
- Christopher MaulucciNew Orleans$134K
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.