Julio Petilon, MD
Orthopaedic Surgery · Lafayette, LANPI 1245205020
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $10,787 of the $17,222 with a category attached, or 62.6%. 27 manufacturers reported payments, led by Nexxt Spine LLC at 24.7% of the total. Reporting peaked in 2022 at $5,465 and has fallen 90.2% since, to $534 in 2025.
Across 154 payments — averaging $111.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$4K
- Si-bone, Inc.$4K
- Spine Wave, Inc.$2K
- Medacta USA, Inc.$2K
- Aesculap Implant Systems, LLC$1K
- Stryker$672
- plus $3K from 21 others
What the payments were for
- Consulting fees$1,3008%
- Travel & lodging$5,13530%
- Food & beverage$10,78763%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Nexxt Spine LLC | 18 | $4,261 |
| Si-bone, Inc. | 29 | $3,583 |
| Spine Wave, Inc. | 28 | $2,406 |
| Medacta USA, Inc. | 14 | $1,885 |
| Aesculap Implant Systems, LLC | 10 | $1,019 |
| Stryker | 11 | $672 |
| 4web, Inc. | 7 | $565 |
| Medtronic(2 entities) | 5 | $506 |
| Spineology Inc. | 3 | $346 |
| Arteriocyte Medical Systems, Inc. | 1 | $337 |
| Alphatec Spine, Inc | 1 | $223 |
| Globus Medical | 2 | $219 |
| Boston Scientific | 4 | $159 |
| Orthofix Medical, Inc. | 1 | $143 |
| DJO, LLC | 2 | $113 |
| Wenzel Spine, Inc. | 1 | $111 |
| Innovasis Inc | 1 | $105 |
| Intrinsic Therapeutics | 2 | $95 |
| Theragen, Inc. | 5 | $82 |
| Smith+Nephew | 1 | $79 |
| Relievant Medsystems, Inc. | 1 | $68 |
| Abbott | 1 | $66 |
| Baxter Healthcare | 2 | $58 |
| Life Spine, Inc. | 1 | $50 |
| Camber Spine Technologies LLC | 1 | $29 |
| Bioventus LLC | 1 | $25 |
| Saluda Medical Americas, Inc. | 1 | $16 |
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.
- iFuse Implant$1,927
- Nexxt Matrixx Products$1,694
- MYSPINE$1,665
- ACTIVL ARTIFICIAL DISC$806
- Nexxt Matrixx ALIF$700
- SPINE TRUSS SYSTEM$363
- Magellan$337
- Nexxt Spine Technology$276
- Approval at Piedmont$276
- Neext Spine Product Education$258
- Rampart Duo Interbody Fusion System$242
- Matrixx ALIF System$227
- Struxxure A System$227
- SA ALIF System$227
- Matrixx ALIF$210
- Facet Fixx$210
- Hedron$166
- STRYKER NAV3$164
- SPECIFY SURESCAN MRI 5-6-5$164
- RESTORE$149
How this compares
$17,222 in reported general payments places this provider in the 80th percentile of 286 orthopaedic 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 | 86 | $902 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 48 | $590 |
| Gabapentin | 53 | $447 |
| Cyclobenzaprine Hcl | 121 | $380 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $332 |
| Tramadol Hcl | 60 | $237 |
| Diclofenac Sodium | 15 | $221 |
| Baclofen | 29 | $105 |
| Ibuprofen | 14 | $97 |
| Naproxen | 11 | $56 |
| Alprazolam | 23 | $15 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lafayette
- James KyleLafayette$111K
- Brian EtierLafayette$55K
- Matthew WilliamsLafayette$40K
- Thomas WoodLafayette$15K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
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.