Raymond Kirchmier, MD
Orthopaedic Surgery of the Spine · Fredericksburg, VANPI 1851378954
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,000 of the $1,498 with a category attached, or 66.7%. Nexxt Spine LLC accounts for 69.9% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $1,073 and has fallen 93.7% since, to $67 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in VA, where the typical reported total is $18,012.
Across 13 payments — averaging $115.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$1K
- Medtronic$224
- Providence Medical Technology, Inc.$44
- Seaspine Orthopedics Corporation$36
- Surgalign Spine Technologies, Inc.$30
- Zyla Life Sciences, Inc.$26
- plus $91 from 5 others
What the payments were for
- Consulting fees$1,00067%
- Food & beverage$49833%
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 |
|---|---|---|
| Nexxt Spine LLC | 2 | $1,047 |
| Medtronic | 1 | $224 |
| Providence Medical Technology, Inc. | 1 | $44 |
| Seaspine Orthopedics Corporation | 1 | $36 |
| Surgalign Spine Technologies, Inc. | 1 | $30 |
| Zyla Life Sciences, Inc. | 2 | $26 |
| Choice Spine, LLC | 1 | $26 |
| Vertex | 1 | $24 |
| Boston Scientific | 1 | $19 |
| Endo Pharmaceuticals Inc. | 1 | $12 |
| Centinel Spine, LLC | 1 | $11 |
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
$1,498 in reported general payments places this provider in the 15th percentile of 43 orthopaedic surgery of the spine providers in Virginia.
See all orthopaedic surgery of the spine providers in Virginia →
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 |
|---|---|---|
| Methylprednisolone | 80 | $481 |
| Diclofenac Sodium | 43 | $387 |
| Gabapentin | 44 | $368 |
| Cyclobenzaprine Hcl | 34 | $241 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $154 |
| Methocarbamol | 16 | $103 |
| Tramadol Hcl | 31 | $95 |
| Meloxicam | 32 | $81 |
| Tizanidine Hcl | 13 | $65 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Fredericksburg
- Jed VanichkachornRichmond$2.3M
- Christopher GoodReston$1.7M
- John SimpsonRichmond$880K
- Colin HainesReston$700K
- Ehsan JaziniReston$502K
- Francis ShenCharlottesville$432K
- Jeffrey CarlsonNewport News$295K
- Thomas SciosciaRichmond$274K
- Thomas SullivanMidlothian$83K
- Corey WallachArlington$77K
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.