Mark Rahm, MD
Orthopaedic Surgery of the Spine · Temple, TXNPI 1194786418
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $8,771 of the $9,913 with a category attached, or 88.5%. Spinesmith Holdings, LLC accounts for 88.5% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $6,544 and has fallen 96.6% since, to $219 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TX, where the typical reported total is $12,726.
Across 18 payments — averaging $550.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinesmith Holdings, LLC$9K
- Camber Spine Technologies LLC$310
- Stryker$309
- Globus Medical$194
- Si-bone, Inc.$150
- Medtronic$133
- plus $46 from 2 others
Across 10 payments — averaging $10,895 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.
- Pfizer$100K
- Stryker$9K
What the payments were for
- Royalty or licence$8,77188%
- Food & beverage$1,14212%
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 |
|---|---|---|
| Spinesmith Holdings, LLC | 6 | $8,771 |
| Camber Spine Technologies LLC | 1 | $310 |
| Stryker | 5 | $309 |
| Globus Medical | 1 | $194 |
| Si-bone, Inc. | 1 | $150 |
| Medtronic(2 entities) | 2 | $133 |
| Dilon Technologies, Inc. | 1 | $24 |
| Smith+Nephew | 1 | $22 |
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
$9,913 in reported general payments places this provider in the 45th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Gabapentin | 13 | $135 |
| Oxycodone Hcl | 23 | $56 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Temple
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
- Mohammad EtminanRichmond$1M
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.