Mitchell Hughes, MD
Orthopaedic Surgery of the Spine · West Des Moines, IANPI 1831543602
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,424 of the $8,853 with a category attached, or 61.3%. 8 manufacturers reported payments, led by Alphatec Spine, Inc at 56.9% of the total. Reporting peaked in 2022 at $4,051 and has fallen 60.5% since, to $1,601 in 2025.
Across 48 payments — averaging $184.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$5K
- Arthrex$2K
- Lightbody Medical Technologies Inc$931
- Medtronic$663
- Johnson & Johnson$210
- Stryker$200
- plus $191 from 2 others
What the payments were for
- Travel & lodging$5,42461%
- Food & beverage$3,42939%
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 |
|---|---|---|
| Alphatec Spine, Inc | 16 | $5,041 |
| Arthrex | 12 | $1,617 |
| Lightbody Medical Technologies Inc | 3 | $931 |
| Medtronic | 6 | $663 |
| Johnson & Johnson | 3 | $210 |
| Stryker | 5 | $200 |
| Si-bone, Inc. | 1 | $148 |
| Convatec Inc. | 2 | $43 |
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
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 |
|---|---|---|
| Gabapentin | 21 | $263 |
| Oxycodone Hcl | 34 | $124 |
| Mupirocin | 14 | $92 |
| Methocarbamol | 18 | $84 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in West Des Moines
- Brian HandalWest Des Moines$92K
- Andrew PugelyIowa City$208K
- Joshua BarberCedar Rapids$112K
- Catherine OlingerIowa City$51K
- Mark PalitClarion$19K
- Zaki IbrahimClive$19K
- Evan LarsonIowa City$9K
- Michael ChapmanDubuque$9K
- Trevor SchmitzDes Moines$6K
- Benjamin MaclennanNorth Liberty$4K
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.