RxDoctor Payments Data

Michael Chapman, MD

Orthopaedic Surgery of the Spine · Dubuque, IANPI 1790735215

Payments from drug & device makers

What this record shows

13 manufacturers reported payments, led by Globus Medical at 35.5% of the total. Reporting peaked in 2022 at $4,434 and has fallen 86.5% since, to $600 in 2025.

$8,742in general payments, 2019–2025

Across 138 payments — averaging $63.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$3K
  • Alphatec Spine, Inc$3K
  • Medtronic$925
  • Mirus, LLC$733
  • Stryker$366
  • Si-bone, Inc.$293
  • plus $365 from 7 others

What the payments were for

  • Travel & lodging$4,27249%
  • Food & beverage$4,47051%

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.

CompanyPaymentsTotal
Globus Medical(2 entities)66$3,103
Alphatec Spine, Inc11$2,957
Medtronic(2 entities)31$925
Mirus, LLC5$733
Stryker9$366
Si-bone, Inc.5$293
Nevro Corp.3$99
Vertos Medical, Inc.2$93
Abyrx, Inc1$91
Orthofix Medical, Inc.2$29
Boston Scientific1$18
Pacira Pharmaceuticals Incorporated1$18
Prism Medical1$16

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

Too few orthopaedic surgery of the spine providers in Iowato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$134,768
Medicare patients
193
Services billed
2,665

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen225$2,258
Zonisamide12$1,417
Gabapentin65$728
Baclofen11$475
Cyclobenzaprine Hcl81$364
Methylprednisolone65$353
Tramadol Hcl118$311
Lamotrigine12$266
Naproxen12$252
Pregabalin11$195
Oxycodone Hcl18$163
Mupirocin18$144
Ibuprofen21$120
Prednisone22$95
Methocarbamol12$61

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Dubuque

See the full list for Iowa

Where these figures come from

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