RxDoctor Payments Data

Matthew Karek, MD

Orthopaedic Surgery of the Spine · Grand Rapids, MINPI 1861620718

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (54.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 62.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $35,600, 3.2 times the $11,058 reported in 2019.

$89,759in general payments, 2019–2025

Across 188 payments — averaging $477.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$56K
  • Medtronic$28K
  • Aesculap Implant Systems, LLC$2K
  • Zak Ortho$1K
  • Stryker$710
  • Abbott$692
  • plus $1K from 9 others
$38,635in research payments, 2019–2025

Across 13 payments — averaging $2971.92 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.

  • Tanabe Pharma America, Inc.$36K
  • Mitsubishi Tanabe Pharma Development America, Inc.$3K

What the payments were for

  • Consulting fees$49,06355%
  • Speaking & faculty fees$18,50021%
  • Grants$190%
  • Travel & lodging$16,24818%
  • Food & beverage$5,8807%
  • Education$500%

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.

CompanyPaymentsTotal
Globus Medical52$56,151
Medtronic(2 entities)68$28,083
Aesculap Implant Systems, LLC9$1,764
Zak Ortho6$1,097
Stryker14$710
Abbott26$692
Arthrex3$283
Icotec Medical Inc.2$159
Lightbody Medical Technologies Inc1$158
Zimmer Biomet1$135
Johnson & Johnson2$131
Medwest Associates1$124
Smith+Nephew1$121
Portola Pharmaceuticals, LLC1$92
VB Spine LLC1$58

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

$89,759 in reported general payments places this provider in the 75th percentile of 37 orthopaedic surgery of the spine providers in Michigan.

See all orthopaedic surgery of the spine providers in Michigan

Medicare billing

Part B allowed, 2024
$104,869
Medicare patients
108
Services billed
280

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
Pregabalin14$363
Gabapentin23$164
Methocarbamol13$97

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Grand Rapids

See the full list for Michigan

Where these figures come from

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