RxDoctor Payments Data

Kornelis Poelstra, MD

Orthopaedic Surgery of the Spine · Las Vegas, NVNPI 1467496828

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (57.0%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 43 manufacturers reported payments, led by Medtronic at 48.3% of the total. Reporting peaked in 2019 at $961,872 and has fallen 84.9% since, to $145,211 in 2025. Among orthopaedic surgery of the spine clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$2,208,052in general payments, 2019–2025

Across 883 payments — averaging $2500.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$1.1M
  • Stryker$831K
  • VB Spine LLC$77K
  • Augmedics Inc.$64K
  • The Institute Of Musculoskeletal Science And Education$45K
  • Siemens Medical Solutions USA, Inc.$30K
  • plus $94K from 37 others
$525in research payments, 2019–2025

Across 1 payment — averaging $525.00 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.

  • Medtronic$525
$538,022in ownership & investment interests, 2019–2025

Across 13 payments — averaging $41,386 each. An ownership or investment interest held by the physician or an immediate family member.

  • Philadelphia Medical Management Company LLC$350K
  • Augmedics Inc.$188K

What the payments were for

  • Royalty or licence$1,259,58557%
  • Consulting fees$470,49421%
  • Speaking & faculty fees$316,98614%
  • Travel & lodging$131,5286%
  • Food & beverage$15,0271%
  • Education$1,2170%
  • Gifts$5300%
  • Ownership interest$11,4221%
  • Other$1,2620%

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.

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

$2,208,052 in reported general payments places this provider in the 95th percentile of 30 orthopaedic surgery of the spine providers in Nevada.

See all orthopaedic surgery of the spine providers in Nevada

Medicare billing

Part B allowed, 2024
$464,142
Medicare patients
188
Services billed
1,302

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
Methylprednisolone13$78

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Las Vegas

See the full list for Nevada

Where these figures come from

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