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Rajiv Sethi, MD

Orthopaedic Surgery of the Spine · Seattle, WANPI 1720090608

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (46.7%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Medtronic at 37.8% of the total. Reporting peaked in 2020 at $1,099,438 and has fallen 65.9% since, to $375,349 in 2025. Among orthopaedic surgery of the spine clinicians in WA 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.

$2,932,165in general payments, 2019–2025

Across 851 payments — averaging $3445.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$1.1M
  • Orthofix Medical, Inc.$428K
  • Viseon, Inc.$428K
  • Stryker$405K
  • Alphatec Spine, Inc$179K
  • Globus Medical$159K
  • plus $224K from 15 others
$16,869in research payments, 2019–2025

Across 4 payments — averaging $4217.31 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.

  • Pfizer$17K
$18,756in ownership & investment interests, 2019–2025

Across 4 payments — averaging $4688.89 each. An ownership or investment interest held by the physician or an immediate family member.

  • Viseon, Inc.$19K

What the payments were for

  • Royalty or licence$1,318,78545%
  • Consulting fees$1,370,45147%
  • Speaking & faculty fees$79,1373%
  • Grants$5,0000%
  • Travel & lodging$112,8124%
  • Food & beverage$28,9611%
  • Education$100%
  • Gifts$100%
  • Ownership interest$17,0001%

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.

CompanyPaymentsTotal
Medtronic(2 entities)89$1,108,063
Orthofix Medical, Inc.118$428,453
Viseon, Inc.64$427,872
Stryker145$405,407
Alphatec Spine, Inc79$178,819
Globus Medical(2 entities)199$159,299
Medicrea USA, Corp.35$62,332
Surgalign Spine Technologies, Inc.50$57,366
Augmedics Inc.36$42,145
Axis Spine Technologies Inc.8$26,906
Mighty Oak Medical6$19,203
Highridge Medical LLC3$8,479
Medical Device Business Services, Inc.3$5,338
Smith+Nephew2$962
Johnson & Johnson4$353
Biedermann Motech, Inc.2$317
Icotec Medical Inc.2$261
MML US, Inc.2$251
Providence Medical Technology, Inc.2$224
Centinel Spine, LLC1$79
Woven Orthopedic Technologies, LLC1$38

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

$2,932,165 in reported general payments places this provider in the 95th percentile of 61 orthopaedic surgery of the spine providers in Washington.

See all orthopaedic surgery of the spine providers in Washington →

Medicare billing

Part B allowed, 2024
$163,453
Medicare patients
105
Services billed
417

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 Seattle

See the full list for Washington →

Where these figures come from

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