RxDoctor Payments Data

Jonathan Duncan, MD

Orthopaedic Surgery of the Spine · San Antonio, TXNPI 1699903765

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $8,125 of the $11,231 with a category attached, or 72.3%. Nvision Biomedical Technologies, Inc. accounts for 72.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2020 at $8,319 and has fallen 99.8% since, to $19 in 2024. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TX, where the typical reported total is $12,726.

$11,231in general payments, 2019–2025

Across 39 payments — averaging $287.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nvision Biomedical Technologies, Inc.$8K
  • Globus Medical$1K
  • Medtronic$891
  • Stryker$657
  • Relievant Medsystems, Inc.$123
  • Abbott$58
  • plus $136 from 5 others
$28,681in research payments, 2019–2025

Across 16 payments — averaging $1792.58 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.

  • Abbott$29K

What the payments were for

  • Consulting fees$8,12572%
  • Travel & lodging$2,37721%
  • Food & beverage$7296%

General payments by program year

19
20
21
22
23
24

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

$11,231 in reported general payments places this provider in the 45th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas →

Medicare billing

Part B allowed, 2024
$290,330
Medicare patients
572
Services billed
1,817

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
Gabapentin152$1,705
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen64$713
Celecoxib46$516
Tizanidine Hcl45$458
Methocarbamol22$363
Baclofen14$356
Diclofenac Sodium23$264
Meloxicam73$200
Pregabalin13$177
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen20$168
Acetaminophen-CodeineAcetaminophen With Codeine21$132
Cyclobenzaprine Hcl13$102
Tramadol Hcl30$94
Methylprednisolone17$92
Prednisone14$20

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in San Antonio

See the full list for Texas →

Where these figures come from

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