Matthew Geck, MD
Orthopaedic Surgery of the Spine · Austin, TXNPI 1073561833
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (59.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Genesys Orthopedics Systems, L.L.C. at 59.5% of the total.
Across 208 payments — averaging $417.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genesys Orthopedics Systems, L.L.C.$52K
- Medtronic$18K
- Zavation Medical Products, LLC$11K
- Globus Medical$2K
- Zimvie Inc.$2K
- Alphatec Spine, Inc$984
- plus $2K from 9 others
Across 2 payments — averaging $6606.25 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$13K
What the payments were for
- Royalty or licence$51,66659%
- Consulting fees$18,31321%
- Travel & lodging$7,7799%
- Food & beverage$9,13711%
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 |
|---|---|---|
| Genesys Orthopedics Systems, L.L.C. | 7 | $51,666 |
| Medtronic(2 entities) | 141 | $17,893 |
| Zavation Medical Products, LLC | 9 | $10,916 |
| Globus Medical(2 entities) | 12 | $1,746 |
| Zimvie Inc. | 12 | $1,736 |
| Alphatec Spine, Inc | 3 | $984 |
| Corelink, LLC | 5 | $820 |
| Zimmer Biomet | 9 | $398 |
| Stryker | 2 | $314 |
| Siemens Medical Solutions USA, Inc. | 2 | $145 |
| Si-bone, Inc. | 1 | $106 |
| Relievant Medsystems, Inc. | 1 | $104 |
| Amgen | 2 | $37 |
| Sanara Medtech Inc. | 1 | $16 |
| Abbott | 1 | $13 |
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.
- Binary$30,742
- CD HORIZON SPINAL SYSTEM$11,450
- The Tether$1,697
- UNID_PASS$1,209
- Other - Miscellaneous$602
- INVICTUS OPEN$382
- O-ARM-Spine$369
- Intracept$208
- O-ARM$187
- CREO Fenestrated$175
- Catalyft$173
- CREO$172
- CAPRI$168
- BACS$168
- K2M CERVICAL$168
- VESUVIUS$168
- CORPECTOMY CAGE$168
- Excelsius - GPS$161
- COALITION AGX$159
- ExcelsiusGPS Robotic Navigation System$156
How this compares
$86,895 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Evenity (2 Syringes)Romosozumab-Aqqg | 11 | $26,856 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $252 |
| Mupirocin | 29 | $187 |
| Oxycodone Hcl | 11 | $113 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenEvenity (2 Syringes) | $37 | $26,85611 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 207 orthopaedic surgery of the spine providers in Texas.
Other orthopaedic surgery of the spine in Austin
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- Richard WuppermanAustin$808K
- Jason ToyAustin$73K
- 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
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.