RxDoctor Payments Data

John Thalgott, MD

Orthopaedic Surgery of the Spine · Las Vegas, NVNPI 1720071582

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (59.0%), other and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Centinel Spine, LLC at 59.3% of the total. Reporting peaked in 2021 at $76,527 and has fallen 98.7% since, to $988 in 2025. Among orthopaedic surgery of the spine clinicians in NV 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.

$320,099in general payments, 2019–2025

Across 243 payments — averaging $1317.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Centinel Spine, LLC$190K
  • Omnia Medical, LLC$120K
  • Abbott$5K
  • Surgalign Spine Technologies, Inc.$3K
  • Medtronic$1K
  • Nevro Corp.$560
  • plus $1K from 18 others

What the payments were for

  • Royalty or licence$188,78459%
  • Consulting fees$2,7001%
  • Food & beverage$8,6153%
  • Other$120,00037%

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

$320,099 in reported general payments places this provider in the 90th percentile of 30 orthopaedic surgery of the spine providers in Nevada.

See all orthopaedic surgery of the spine providers in Nevada

Medicare billing

Part B allowed, 2024
$132,406
Medicare patients
218
Services billed
685

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
Gabapentin73$573
Methylprednisolone42$244
Levofloxacin29$182
Meloxicam18$40

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Las Vegas

See the full list for Nevada

Where these figures come from

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