Mesfin Lemma, MD
Orthopaedic Surgery of the Spine · Baltimore, MDNPI 1366410193
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $29,201 of the $46,946 with a category attached, or 62.2%. 5 manufacturers reported payments, led by Orthofix Medical, Inc. at 54.7% of the total. Reporting peaked in 2021 at $16,088 and has fallen 75.8% since, to $3,889 in 2025.
Across 46 payments — averaging $1020.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$26K
- Altus Partners. LLC$13K
- Stryker$5K
- Alphatec Spine, Inc$2K
- Zavation Medical Products, LLC$1K
What the payments were for
- Royalty or licence$29,20162%
- Consulting fees$10,25022%
- Travel & lodging$6,69114%
- Food & beverage$8032%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 20 | $25,694 |
| Altus Partners. LLC | 2 | $12,608 |
| Stryker | 10 | $4,896 |
| Alphatec Spine, Inc | 7 | $2,305 |
| Zavation Medical Products, LLC | 7 | $1,443 |
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.
- FORZA$16,088
- FORZA PTC Spacer System$7,255
- FORZA PEEK Spacer System$7,255
- Monaco Pedicle Screw System$5,858
- ALEUTIAN$3,500
- FORZA XP Expandable Spacer System$2,684
- Other - Miscellaneous$2,230
- CASCADIA$966
- Centurion$913
- Mariner$216
- NorthStar$216
- SERRATO$142
- N/A$142
How this compares
$46,946 in reported general payments places this provider in the 80th percentile of 49 orthopaedic surgery of the spine providers in Maryland.
See all orthopaedic surgery of the spine providers in Maryland →
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.
Other orthopaedic surgery of the spine in Baltimore
- John CarboneBaltimore$25M
- Steven LudwigBaltimore$2.7M
- Paul McAfeeBaltimore$2.2M
- Amit JainBaltimore$250K
- Daniel GelbBaltimore$40K
- Charles EdwardsBaltimore$17K
- Zan NaseerBaltimore$16K
- Maksim ShlykovBaltimore$14K
- Syed KarimBaltimore$12K
- David FalkBaltimore$10K
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.