RxDoctor Payments Data

Michael Hartman, MD

Orthopaedic Surgery of the Spine · San Antonio, TXNPI 1689692196

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $9,050 of the $12,982 with a category attached, or 69.7%. Medtronic accounts for 60.1% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $3,218 and has fallen 80.1% since, to $640 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.

$12,982in general payments, 2019–2025

Across 130 payments — averaging $99.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$8K
  • Providence Medical Technology, Inc.$2K
  • Si-bone, Inc.$1K
  • Orthopediatrics Corp.$512
  • Biotissue Holdings Inc.$404
  • Orthofix Medical, Inc.$392
  • plus $956 from 11 others

What the payments were for

  • Travel & lodging$3,93230%
  • Food & beverage$9,05070%

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.

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

$12,982 in reported general payments places this provider in the 50th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas →

Medicare billing

Part B allowed, 2024
$34,063
Medicare patients
71
Services billed
229

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 San Antonio

See the full list for Texas →

Where these figures come from

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