Peter Bono, DO
Orthopaedic Surgery of the Spine · Southfield, MINPI 1346234770
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $724,891 of the $785,869 with a category attached, or 92.2%. Stryker accounts for 81.8% of it on its own, with 14 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in MI 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 124 payments — averaging $6337.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$643K
- VB Spine LLC$82K
- Globus Medical$46K
- Spinal Elements, Inc.$10K
- Depuy Synthes Products, Inc.$3K
- Medtronic$1K
- plus $1K from 9 others
What the payments were for
- Royalty or licence$724,89192%
- Consulting fees$45,8506%
- Speaking & faculty fees$7,5001%
- Travel & lodging$4,7991%
- Food & beverage$2,8090%
- Education$200%
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 |
|---|---|---|
| Stryker | 40 | $642,782 |
| VB Spine LLC | 6 | $81,650 |
| Globus Medical(2 entities) | 41 | $46,088 |
| Spinal Elements, Inc. | 12 | $9,739 |
| Depuy Synthes Products, Inc. | 2 | $3,170 |
| Medtronic(2 entities) | 10 | $1,109 |
| Surgalign Spine Technologies, Inc. | 1 | $450 |
| Bioventus LLC | 1 | $339 |
| Centinel Spine, LLC | 2 | $308 |
| Si-bone, Inc. | 4 | $147 |
| Aesculap, Inc. | 1 | $23 |
| Carbofix Spine Inc | 1 | $22 |
| CSL Behring | 1 | $20 |
| Orthofix Medical, Inc. | 1 | $11 |
| Medicrea USA, Corp. | 1 | $10 |
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.
- EVEREST SPINAL SYSTEM$491,922
- EVEREST$181,446
- CASCADIA INTERBODY SYSTEM$50,693
- Oscillating High Speed Drill$14,963
- DuraPro$9,938
- ExcelsiusGPS Robotic Navigation System$9,738
- MIS COURSE$8,000
- Handpiece Power System$7,600
- Medical Device$1,301
- Autobahn$1,007
- DIVERGENCE-L$652
- RISE-L$586
- CALIBER$530
- STREAMLINE OCT SYSTEM$450
- BoneScalpel$339
- PRODISC C$175
- Clavicular Fracture Fixation$164
- INTELLIS ADAPTIVESTIM$162
- NONE$147
- Excelsius Robotics System$142
How this compares
$785,869 in reported general payments places this provider in the 95th percentile of 37 orthopaedic surgery of the spine providers in Michigan.
See all orthopaedic surgery of the spine providers in Michigan →
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 | 86 | $897 |
| Dexamethasone | 115 | $881 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 98 | $811 |
| Oxycodone Hcl | 112 | $605 |
| Gabapentin | 49 | $407 |
| Tramadol Hcl | 67 | $175 |
| Tizanidine Hcl | 15 | $151 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $145 |
| Methylprednisolone | 29 | $138 |
| Cyclobenzaprine Hcl | 15 | $127 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $96 |
| Diazepam | 20 | $14 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Southfield
- Roderick ClaybrooksSouthfield$4K
- Joseph BrownGrand Rapids$565K
- Nilesh PatelDearborn$449K
- Michael KastenKalamazoo$261K
- John LamacchiaRochester$179K
- Joshua EllwitzKalamazoo$150K
- Michael KapsokavathisBirmingham$120K
- Michael DonahueAuburn Hills$96K
- Matthew KarekGrand Rapids$90K
- Jeffrey WingateWarren$57K
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.