Michael Kachmann, MD
Neurological Surgery · Cincinnati, OHNPI 1104040732
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (40.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 90.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $90,334 and has fallen 89.8% since, to $9,179 in 2025. Among neurological surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 301 payments — averaging $820.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$224K
- Medtronic$21K
- Boston Scientific$743
- Si-bone, Inc.$560
- Carlsmed, Inc.$225
- Orthofix Medical, Inc.$195
- plus $294 from 3 others
What the payments were for
- Royalty or licence$100,00040%
- Consulting fees$90,80337%
- Speaking & faculty fees$18,0007%
- Travel & lodging$27,63311%
- Food & beverage$10,4964%
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 |
|---|---|---|
| Globus Medical(2 entities) | 231 | $223,892 |
| Medtronic(2 entities) | 32 | $21,022 |
| Boston Scientific | 24 | $743 |
| Si-bone, Inc. | 8 | $560 |
| Carlsmed, Inc. | 2 | $225 |
| Orthofix Medical, Inc. | 1 | $195 |
| Innovasis Inc | 1 | $113 |
| Smith+Nephew | 1 | $108 |
| Zimmer Biomet | 1 | $73 |
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.
- Pulse$166,097
- XLIF$13,695
- ALIF$11,289
- CLYDESDALE$10,530
- TLIF$10,183
- CLYDESDALE PTC SPINAL SYSTEM$9,405
- RELINE$3,082
- ExcelsiusGPS Robotic Navigation System$1,877
- Excelsius - GPS$1,831
- CREO$775
- Excelsius3D Imaging System$744
- TLX$209
- 7D Surgical System$195
- aprevo$178
- CAPSTONE$171
- CREO 5.5$162
- COLONIAL$161
- PASS-LP$159
- LessRay$159
- UNID_PASS$150
How this compares
$246,931 in reported general payments places this provider in the 95th percentile of 301 neurological surgery providers in Ohio.
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 |
|---|---|---|
| Methocarbamol | 25 | $217 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $132 |
| Methylprednisolone | 27 | $127 |
| Tramadol Hcl | 23 | $113 |
| Gabapentin | 18 | $97 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Cincinnati
- Zachary TempelCincinnati$351K
- John TewCincinnati$87K
- Benjamin MotleyCincinnati$79K
- Joseph ChengCincinnati$58K
- Sudhakar VadiveluCincinnati$41K
- Randall HlubekCincinnati$41K
- Owoicho AdogwaCincinnati$37K
- Dale HorneCincinnati$27K
- William ToblerCincinnati$25K
- Francesco ManganoCincinnati$25K
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.