Richard Holt, MD
Orthopaedic Surgery of the Spine · Louisville, KYNPI 1669455630
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (57.5%), food and beverage and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Globus Medical at 57.5% of the total. Reporting peaked in 2019 at $2,018 and has fallen 99.3% since, to $13 in 2024. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in KY, where the typical reported total is $61,310.
Across 42 payments — averaging $64.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Teva Pharmaceuticals USA, Inc.$294
- Spineology Inc.$197
- UCB, Inc.$153
- Sunovion Pharmaceuticals Inc.$114
- Vanda Pharmaceuticals Inc.$84
- plus $306 from 5 others
What the payments were for
- Royalty or licence$1,55457%
- Food & beverage$1,03938%
- Education$1114%
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 |
|---|---|---|
| Globus Medical | 1 | $1,554 |
| Teva Pharmaceuticals USA, Inc. | 4 | $294 |
| Spineology Inc. | 1 | $197 |
| UCB, Inc. | 9 | $153 |
| Sunovion Pharmaceuticals Inc. | 9 | $114 |
| Vanda Pharmaceuticals Inc. | 6 | $84 |
| Neurocrine Biosciences, Inc. | 6 | $78 |
| Surgalign Spine Technologies, Inc. | 1 | $73 |
| Medtronic | 1 | $63 |
| Providence Medical Technology, Inc. | 1 | $56 |
| Greenwich Biosciences, Inc. | 3 | $37 |
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.
- Mesh$1,554
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$197
- AUSTEDO$104
How this compares
$2,703 in reported general payments places this provider in the 15th percentile of 29 orthopaedic surgery of the spine providers in Kentucky.
See all orthopaedic surgery of the spine providers in Kentucky →
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 |
|---|---|---|
| BriviactBrivaracetam | 15 | $27,036 |
| EliquisApixaban | 25 | $16,505 |
| LinzessLinaclotide | 30 | $16,487 |
| RybelsusSemaglutide | 14 | $14,370 |
| JanumetSitagliptin Phos/Metformin Hcl | 13 | $7,716 |
| VascepaIcosapent Ethyl | 13 | $6,346 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $5,536 |
| Levetiracetam | 101 | $5,336 |
| Desmopressin Acetate | 34 | $5,275 |
| Divalproex Sodium | 29 | $4,057 |
| Oxcarbazepine | 21 | $3,214 |
| Lubiprostone | 13 | $2,625 |
| Divalproex Sodium ErDivalproex Sodium | 12 | $2,582 |
| Carbamazepine | 36 | $2,474 |
| Esomeprazole Magnesium | 46 | $1,879 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| UCB, Inc.Briviact | $153 | $27,03615 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 15th percentile of 29 orthopaedic surgery of the spine providers in Kentucky.
Other orthopaedic surgery of the spine in Louisville
- Jeffery GumLouisville$3.5M
- Mladen DjurasovicLouisville$3.1M
- Roger OwensLouisville$1.3M
- Charles CrawfordLouisville$836K
- Joseph LarattaLouisville$819K
- Venu VemuriLouisville$796K
- Kathryn McCarthy MulloolyLouisville$426K
- John DimarLouisville$266K
- Steven GlassmanLouisville$249K
- John JohnsonLouisville$247K
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.