RxDoctor Payments Data

Juris Shibayama, MD

Orthopaedic Surgery of the Spine · Smyrna, TNNPI 1992758981

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (59.2%), travel and lodging and royalties or licence payments — rather than concentrated in one kind of arrangement. Stryker accounts for 67.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $17,174 and has fallen 71.2% since, to $4,947 in 2025.

$40,310in general payments, 2019–2025

Across 106 payments — averaging $380.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$27K
  • Globus Medical$6K
  • Arthrex$3K
  • Music City Medical Technologies, LLC$2K
  • Zimvie Inc.$893
  • Zimmer Biomet$436
  • plus $517 from 4 others

What the payments were for

  • Royalty or licence$5,97815%
  • Consulting fees$23,87559%
  • Travel & lodging$6,13415%
  • Food & beverage$4,32311%

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.

CompanyPaymentsTotal
Stryker34$27,278
Globus Medical21$6,312
Arthrex33$2,925
Music City Medical Technologies, LLC11$1,949
Zimvie Inc.2$893
Zimmer Biomet1$436
EBI, LLC1$373
Si-bone, Inc.1$102
Solventum Corporation1$23
Augmedics Inc.1$19

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

$40,310 in reported general payments places this provider in the 70th percentile of 51 orthopaedic surgery of the spine providers in Tennessee.

See all orthopaedic surgery of the spine providers in Tennessee

Medicare billing

Part B allowed, 2024
$232,128
Medicare patients
232
Services billed
1,183

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
Gabapentin44$452
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen44$327
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen23$290
Methylprednisolone39$270
Cephalexin17$199
Pregabalin11$123
Tramadol Hcl35$120
Diclofenac Sodium22$102
Cyclobenzaprine Hcl21$76
Meloxicam16$37
Naproxen12$30

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Smyrna

See the full list for Tennessee

Where these figures come from

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