Raphael Roybal
Orthopaedic Surgery of the Spine · Savannah, GANPI 1518909712
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $372,134 of the $400,235 with a category attached, or 93.0%. Integrity Implants Inc. accounts for 60.1% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2021 at $85,837 and has fallen 98.9% since, to $978 in 2025.
Across 186 payments — averaging $2151.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integrity Implants Inc.$241K
- Integrity Implants Inc. Dba Accelus$125K
- Orthofix Medical, Inc.$16K
- Captiva Spine Inc$5K
- Mirus, LLC$4K
- Republic Spine$4K
- plus $6K from 16 others
What the payments were for
- Royalty or licence$372,13493%
- Consulting fees$17,7754%
- Travel & lodging$2,1871%
- Food & beverage$7,9682%
- Education$1260%
- Gifts$440%
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 |
|---|---|---|
| Integrity Implants Inc. | 41 | $240,563 |
| Integrity Implants Inc. Dba Accelus | 14 | $124,677 |
| Orthofix Medical, Inc. | 12 | $15,677 |
| Captiva Spine Inc | 23 | $4,955 |
| Mirus, LLC | 3 | $4,293 |
| Republic Spine | 41 | $3,679 |
| Silony Medical Corp. | 1 | $2,400 |
| Centinel Spine, LLC | 3 | $1,151 |
| Boston Scientific | 25 | $793 |
| Circinus Medical Technology LLC | 4 | $526 |
| Degen Medical, Inc. | 1 | $298 |
| Zimmer Biomet | 4 | $239 |
| Elevation Spine, Inc. | 3 | $192 |
| Seaspine Orthopedics Corporation | 2 | $178 |
| Osteoremedies, LLC | 2 | $141 |
| Biocomposites Inc | 1 | $113 |
| Surgentec | 1 | $95 |
| Camber Spine Technologies LLC | 1 | $95 |
| Biedermann Motech, Inc. | 1 | $56 |
| Titan Spine, LLC | 1 | $50 |
| Intrinsic Therapeutics | 1 | $37 |
| Si-bone, Inc. | 1 | $27 |
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.
- FlareHawk$313,206
- LineSider$27,839
- FORZA$10,000
- SIghtLine$9,227
- LONESTAR Cervical Stand Alone (CSA)$4,433
- EUROPA Pedicle Screw System$4,293
- CYGNUS Anterior Cervical Plate$4,293
- Transfasten$3,962
- MiRus 3DR Lumbar Interbody System$3,043
- IO Expandable Lumbar Interbody$3,043
- RIGEL 3DR Cervical Interbody$3,043
- LONESTAR$1,189
- STALIF C FLX$1,000
- Dark Star$786
- Bolt Navigation$493
- Mariner MIS$117
- Stimulan$113
- TirboLOX Cervical$110
- GENERAL PAIN MANAGEMENT$100
How this compares
$400,235 in reported general payments places this provider in the 85th percentile of 57 orthopaedic surgery of the spine providers in Georgia.
See all orthopaedic surgery of the spine providers in Georgia →
Other orthopaedic surgery of the spine in Savannah
- Bradley HeigesSavannah$233K
- Edward FakhreSavannah$8K
- John HellerAtlanta$4.2M
- Scott BodenAtlanta$1.5M
- Justin BundyAugusta$1.4M
- John RheeAtlanta$1.1M
- Tapan DaftariAustell$759K
- Brad PrybisStockbridge$659K
- Paul JeffordsAtlanta$651K
- Hewatt SimsDouglas$376K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.