Joshua Schwind, MD
Orthopaedic Surgery of the Spine · Orange, CANPI 1851657845
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.3%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Medtronic at 24.8% of the total. Reporting peaked in 2019 at $4,123 and has fallen 86.8% since, to $543 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in CA, where the typical reported total is $17,657.
Across 150 payments — averaging $91.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Globus Medical$3K
- Osseus Fusion Systems, LLC$2K
- Spineart USA Inc$2K
- Si-bone, Inc.$1K
- Conetic Solutions, Inc.$318
- plus $1K from 11 others
What the payments were for
- Consulting fees$2,25016%
- Travel & lodging$5,35339%
- Food & beverage$6,10244%
- Gifts$751%
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 |
|---|---|---|
| Medtronic(2 entities) | 41 | $3,419 |
| Globus Medical(2 entities) | 55 | $3,389 |
| Osseus Fusion Systems, LLC | 3 | $2,367 |
| Spineart USA Inc | 5 | $1,667 |
| Si-bone, Inc. | 9 | $1,300 |
| Conetic Solutions, Inc. | 3 | $318 |
| Johnson & Johnson(2 entities) | 9 | $257 |
| Baxter Healthcare | 4 | $184 |
| Arthrex | 6 | $183 |
| Stryker | 4 | $173 |
| Seaspine Orthopedics Corporation | 2 | $129 |
| Spineart SA | 1 | $115 |
| Cerapedics Inc. | 1 | $92 |
| Radius Health, Inc. | 3 | $77 |
| Surgalign Spine Technologies, Inc. | 2 | $60 |
| Spineology Inc. | 1 | $29 |
| Arbor Pharmaceuticals, Inc. | 1 | $21 |
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.
- PIVOX Oblique Lateral Spinal System$1,053
- IFUSE IMPLANT SYSTEM$969
- Mazor X Stealth Edition$795
- Spine$694
- Excelsius - GPS$694
- XLIF$222
- MAZOR X SYSTEM$155
- FLOSEAL$119
- JULIET LL - LATERAL CAGE PEEK$115
- Regatta Lateral System$112
- UNID_PASS$102
How this compares
$13,780 in reported general payments places this provider in the 45th percentile of 288 orthopaedic surgery of the spine providers in California.
See all orthopaedic surgery of the spine providers in California →
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 |
|---|---|---|
| Gabapentin | 63 | $461 |
| Methocarbamol | 24 | $154 |
| Meloxicam | 13 | $41 |
| Prednisone | 12 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Orange
- Stacey BedermanOrange$3.7M
- Jeffrey DeckeyOrange$1.3M
- Nitin BhatiaOrange$1.2M
- Jeremy SmithOrange$856K
- Don ParkOrange$849K
- Jon WhiteOrange$806K
- Hyun BaeSanta Monica$56.8M
- Choll KimSan Diego$4M
- Gregory Mundisla Jolla$3.3M
- Paul SlosarDaly City$3.1M
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.