RxDoctor Payments Data

Leigh Spera, MD

Plastic and Reconstructive Surgery · Indianapolis, INNPI 1912268723

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (53.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Integra Lifesciences Corporation at 39.7% of the total. 2025 is the largest year on record at $6,651, 2.6 times the $2,574 reported in 2019. Among plastic and reconstructive surgery clinicians in IN 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.

$16,047in general payments, 2019–2025

Across 90 payments — averaging $178.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Integra Lifesciences Corporation$6K
  • AbbVie$3K
  • Smith+Nephew$2K
  • Polynovo North America LLC$1K
  • Avita Medical Americas, LLC$875
  • TELA Bio, Inc.$467
  • plus $2K from 8 others

What the payments were for

  • Consulting fees$3,55022%
  • Speaking & faculty fees$1,57510%
  • Travel & lodging$1,68911%
  • Food & beverage$8,59054%
  • Other$6434%

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

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

$16,047 in reported general payments places this provider in the 95th percentile of 47 plastic and reconstructive surgery providers in Indiana.

See all plastic and reconstructive surgery providers in Indiana

Medicare billing

Part B allowed, 2024
$60,671
Medicare patients
33
Services billed
803

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.

Other plastic and reconstructive surgery in Indianapolis

See the full list for Indiana

Where these figures come from

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