Paul McAfee
Orthopaedic Surgery of the Spine · Baltimore, MDNPI 1033136866
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,844,507 of the $2,161,065 with a category attached, or 85.4%. 12 manufacturers reported payments, led by Medtronic at 46.3% of the total. Reporting peaked in 2020 at $1,215,957 and has fallen 75.3% since, to $300,776 in 2025. Among orthopaedic surgery of the spine clinicians in MD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 314 payments — averaging $6882.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1M
- Globus Medical$917K
- Medicrea USA, Corp.$200K
- Biom'up France SAS$18K
- Circinus Medical Technology LLC$15K
- Surgalign Spine Technologies, Inc.$9K
- plus $2K from 6 others
Across 6 payments — averaging $67,169 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Biom'up SA$254K
- Globus Medical$149K
What the payments were for
- Royalty or licence$1,844,50785%
- Consulting fees$171,8388%
- Speaking & faculty fees$96,4794%
- Travel & lodging$42,1732%
- Food & beverage$5,2090%
- Education$7750%
- Gifts$850%
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 |
|---|---|---|
| Medtronic | 1 | $1,000,000 |
| Globus Medical | 227 | $916,892 |
| Medicrea USA, Corp. | 2 | $200,000 |
| Biom'up France SAS | 1 | $18,000 |
| Circinus Medical Technology LLC | 34 | $15,436 |
| Surgalign Spine Technologies, Inc. | 37 | $8,551 |
| Stryker | 5 | $1,095 |
| Kuros Biosciences USA, Inc | 3 | $499 |
| Spineology Inc. | 1 | $329 |
| Camber Spine Technologies LLC | 1 | $139 |
| Biom'up SA | 1 | $109 |
| Smith+Nephew | 1 | $14 |
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.
- PASS-LP$1,200,000
- ALTERA$199,143
- TRANSITION$188,333
- COALITION$100,099
- UNiD$100,000
- Excelsius - GPS$66,910
- CREO$46,534
- Plymouth$38,875
- ELSA$25,639
- ExcelsiusGPS Robotic Navigation System$22,766
- HemoBlast Bellows$18,000
- Bolt Navigation$15,275
- RELIEVE$11,686
- CREO S2AI$11,157
- Precision TLIF$9,350
- INDEPENDENCE$8,800
- Excelsius3D Imaging System$7,789
- ELSA, ELSA AL/ATP$7,588
- Oscillating High Speed Drill$6,600
- EXCELSIUS$5,581
How this compares
$2,161,065 in reported general payments places this provider in the 90th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Mupirocin | 18 | $135 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Baltimore
- John CarboneBaltimore$25M
- Steven LudwigBaltimore$2.7M
- Amit JainBaltimore$250K
- Mesfin LemmaBaltimore$47K
- 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.