Rakesh Chokshi, MD
Orthopaedic Surgery of the Spine · Florence, SCNPI 1053311134
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $688,267 of the $727,374 with a category attached, or 94.6%. Degen Medical, Inc. accounts for 98.2% of it on its own, with 16 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in SC 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 247 payments — averaging $2944.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Degen Medical, Inc.$715K
- Globus Medical$7K
- Medtronic$4K
- Boston Scientific$445
- Providence Medical Technology, Inc.$286
- Si-bone, Inc.$251
- plus $981 from 11 others
What the payments were for
- Royalty or licence$688,26795%
- Consulting fees$19,6553%
- Travel & lodging$8,3331%
- Food & beverage$11,1182%
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 |
|---|---|---|
| Degen Medical, Inc. | 104 | $714,545 |
| Globus Medical(2 entities) | 62 | $7,196 |
| Medtronic(2 entities) | 48 | $3,669 |
| Boston Scientific | 6 | $445 |
| Providence Medical Technology, Inc. | 5 | $286 |
| Si-bone, Inc. | 8 | $251 |
| Integrity Implants Inc. Dba Accelus | 1 | $159 |
| Intrinsic Therapeutics | 3 | $157 |
| Johnson & Johnson | 1 | $128 |
| Centinel Spine, LLC | 1 | $119 |
| Stryker | 2 | $113 |
| Peerless Surgical Inc. | 1 | $100 |
| Siemens Medical Solutions USA, Inc. | 1 | $72 |
| Brainlab, Inc. | 1 | $60 |
| Spinal Simplicity, LLC | 1 | $42 |
| Zimmer Biomet | 1 | $18 |
| Amgen | 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.
- Hyper-C$523,570
- Latitude-C$497,156
- E3$491,369
- Cyclops$484,884
- F1 MPS$364,643
- F1$323,624
- PLIF$208,678
- LAT-C$191,111
- MIS E3$94,296
- E3 MIS$73,779
- ALIF$38,828
- IMPULSE$4,500
- CREO$2,010
- CERVICAL AM$1,980
- KYPHON Balloon Kyphoplasty$1,304
- Excelsius Robotics System$679
- EXCELSIUS$631
- Pulse$540
- MAZOR X SYSTEM$529
- XLIF$512
How this compares
$727,374 in reported general payments places this provider in the 90th percentile of 32 orthopaedic surgery of the spine providers in South Carolina.
See all orthopaedic surgery of the spine providers in South Carolina →
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 174 | $1,759 |
| Tizanidine Hcl | 150 | $1,491 |
| Methylprednisolone | 178 | $1,312 |
| Meloxicam | 370 | $874 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 102 | $825 |
| Gabapentin | 69 | $665 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $327 |
| Ibuprofen | 25 | $275 |
| Tramadol Hcl | 48 | $242 |
| Naproxen | 14 | $164 |
| Diazepam | 13 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Florence
- Willie EdwardsFlorence$687K
- Steven PolettiMt Pleasant$3M
- Donald JohnsonMt Pleasant$2.9M
- Gene MasseyMyrtle Beach$1.2M
- Ivan LamottaColumbia$299K
- Daniel ReidConway$152K
- Timothy BryanMt Pleasant$135K
- James AymondCharleston$91K
- Michael PeelleColumbia$77K
- Erkan AlciConway$75K
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.