Juan Ronderos, MD
Neurological Surgery · Fairhope, ALNPI 1407875016
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $25,429 of the $38,903 with a category attached, or 65.4%. 30 manufacturers reported payments, led by Precision Spine, Inc. at 42.0% of the total. Reporting peaked in 2021 at $18,057 and has fallen 98.9% since, to $193 in 2025.
Across 126 payments — averaging $308.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$16K
- Orthofix Medical, Inc.$13K
- Curiteva, Inc.$5K
- Globus Medical$2K
- Baxter Healthcare$569
- Spinal Elements, Inc.$458
- plus $2K from 24 others
What the payments were for
- Royalty or licence$25,42965%
- Consulting fees$4,00010%
- Travel & lodging$4,40111%
- Food & beverage$4,89613%
- Gifts$440%
- Entertainment$1330%
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. | 12 | $16,351 |
| Orthofix Medical, Inc. | 11 | $13,137 |
| Curiteva, Inc. | 5 | $4,531 |
| Globus Medical | 14 | $2,109 |
| Baxter Healthcare | 13 | $569 |
| Spinal Elements, Inc. | 6 | $458 |
| AbbVie | 16 | $313 |
| Medtronic(2 entities) | 11 | $238 |
| GT Medical Technologies, Inc | 3 | $186 |
| Carl Zeiss Meditec USA, Inc. | 1 | $127 |
| Novocure Inc. | 1 | $125 |
| Kls-martin L.p. | 3 | $118 |
| Zimmer Biomet | 5 | $98 |
| Johnson & Johnson | 3 | $88 |
| Providence Medical Technology, Inc. | 1 | $71 |
| Axis Spine Technologies Inc. | 1 | $52 |
| Arbor Pharmaceuticals, Inc. | 2 | $45 |
| Integrity Implants Inc. | 1 | $44 |
| Nevro Corp. | 2 | $37 |
| Abbott | 2 | $37 |
| CSL Behring | 2 | $31 |
| Lemaitre Vascular, Inc. | 2 | $24 |
| Radius Health, Inc. | 1 | $22 |
| Brainlab, Inc. | 2 | $19 |
| AstraZeneca | 1 | $15 |
| Irras USA, Inc. | 1 | $14 |
| Portola Pharmaceuticals, LLC | 1 | $13 |
| Avanir Pharmaceuticals, Inc. | 1 | $13 |
| Stimwave Technologies Incorporated | 1 | $11 |
| Si-bone, Inc. | 1 | $6 |
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.
- SLIMPLICITY HP$13,074
- FORZA$7,500
- NEXGEN ANTERIOR CERVICAL PLATE SYSTEM$5,425
- LONESTAR Cervical Stand Alone (CSA)$4,448
- SLIM HP ACDF$2,000
- CREO$1,632
- LONESTAR$1,189
- Pedicle Screw System$1,000
- C SPINE SYSTEM$1,000
- Medical Device$385
- FLOSEAL$241
- ELSA$161
- Oncology$125
How this compares
$38,903 in reported general payments places this provider in the 85th percentile of 97 neurological surgery providers in Alabama.
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 | 61 | $547 |
| Celecoxib | 16 | $256 |
| Pregabalin | 18 | $245 |
| Methylprednisolone | 24 | $166 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $68 |
| Ondansetron Hcl | 11 | $58 |
| Tramadol Hcl | 13 | $39 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fairhope
- John JohnsonHuntsville$250K
- Cheng TaoHuntsville$236K
- Mark HadleyBirmingham$104K
- Andrew ErwoodBirmingham$85K
- Marshall HollandBirmingham$81K
- Joel PickettHuntsville$72K
- Richard MengerMobile$70K
- Jason BanksHuntsville$65K
- Jakub GodzikBirmingham$56K
- Adnan ShahidBirmingham$50K
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.