Laviel Fernandez, MD
Orthopaedic Surgery of the Spine · Cumming, GANPI 1194259416
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,364 of the $6,703 with a category attached, or 65.1%. 12 manufacturers reported payments, led by Seaspine Orthopedics Corporation at 26.4% of the total. Reporting peaked in 2023 at $2,712 and has fallen 51.7% since, to $1,309 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in GA, where the typical reported total is $16,983.
Across 71 payments — averaging $94.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Seaspine Orthopedics Corporation$2K
- Medtronic$2K
- Globus Medical$1K
- Stryker$979
- Johnson & Johnson$393
- Circinus Medical Technology LLC$256
- plus $338 from 6 others
What the payments were for
- Travel & lodging$2,33935%
- Food & beverage$4,36465%
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 |
|---|---|---|
| Seaspine Orthopedics Corporation | 7 | $1,773 |
| Medtronic | 23 | $1,761 |
| Globus Medical | 9 | $1,203 |
| Stryker | 13 | $979 |
| Johnson & Johnson | 9 | $393 |
| Circinus Medical Technology LLC | 1 | $256 |
| Boston Scientific | 4 | $194 |
| Highridge Medical LLC | 1 | $60 |
| Centinel Spine, LLC | 1 | $39 |
| Spinal Simplicity, LLC | 1 | $18 |
| DJO, LLC | 1 | $14 |
| Bioventus LLC | 1 | $14 |
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.
- NorthStar$1,577
- Mariner$1,577
- Admiral$964
- Mariner MIS$964
- Shoreline ASC$964
- MARS 3V/3VL$612
- CD HORIZON SPINAL SYSTEM$601
- MAZOR X SYSTEM$447
- EVEREST SPINAL SYSTEM$380
- ExcelsiusGPS Robotic Navigation System$279
- Bolt Navigation$256
- CAPRI CORPECTOMY CAGE SYSTEM$224
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$175
- CAYMAN PLATE SYSTEM$164
- XIA 3$149
- CENTERPIECE PLATE FIXATION SYSTEM$135
- WaveWriter Alpha Prime 16$123
- CORE$117
- Vivigen MIS Delivery System$114
- FIBERGRAFT BG Morsels$114
How this compares
$6,703 in reported general payments places this provider in the 30th percentile of 57 orthopaedic surgery of the spine providers in Georgia.
See all orthopaedic surgery of the spine providers in Georgia →
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 |
|---|---|---|
| Diclofenac Sodium | 18 | $139 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Cumming
- Keith OsbornCumming$3K
- John HellerAtlanta$4.2M
- Scott BodenAtlanta$1.5M
- Justin BundyAugusta$1.4M
- John RheeAtlanta$1.1M
- Tapan DaftariAustell$759K
- Brad PrybisStockbridge$659K
- Paul JeffordsAtlanta$651K
- Raphael RoybalSavannah$400K
- Hewatt SimsDouglas$376K
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.