Richard Hynes, MD
Orthopaedic Surgery · Melbourne, FLNPI 1184697450
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $34,060,430 of the $34,832,967 with a category attached, or 97.8%. Medtronic accounts for 99.3% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $22,273,027 and has fallen 92.5% since, to $1,660,905 in 2025. Among orthopaedic surgery clinicians in FL 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.
Across 768 payments — averaging $45,355 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$34.6M
- Globus Medical$157K
- Si-bone, Inc.$47K
- Medacta USA, Inc.$18K
- Spineguard, Inc.$13K
- Baxter Healthcare$10K
- plus $2K from 6 others
Across 4 payments — averaging $36,598 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.
- Medtronic$146K
What the payments were for
- Royalty or licence$34,060,43098%
- Consulting fees$428,8331%
- Speaking & faculty fees$222,5251%
- Travel & lodging$107,8630%
- Food & beverage$13,2480%
- Other$670%
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 |
|---|---|---|
| Medtronic(2 entities) | 605 | $34,584,928 |
| Globus Medical | 84 | $157,251 |
| Si-bone, Inc. | 42 | $47,358 |
| Medacta USA, Inc. | 2 | $17,831 |
| Spineguard, Inc. | 8 | $13,448 |
| Baxter Healthcare | 5 | $9,870 |
| Integrity Implants Inc. | 11 | $1,569 |
| Cerapedics Inc. | 5 | $378 |
| Surgalign Spine Technologies, Inc. | 2 | $189 |
| Stryker | 1 | $58 |
| Biocomposites Inc | 1 | $46 |
| Zimmer Biomet | 2 | $41 |
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.
- CD HORIZON SPINAL SYSTEM$3,191,478
- CD HORIZON$1,682,208
- ZEVO$1,661,215
- DIVERGENCE$1,523,014
- PIVOX Oblique Lateral Spinal System$1,495,279
- ZEVO ANTERIOR CERVICAL PLATE SYSTEM$1,398,396
- DIVERGENCE ANTERIOR CERVICAL FUSION SYSTEM$1,301,055
- CLYDESDALE$60,086
- ELSA$44,563
- DIVERGENCE-L$36,360
- Excelsius - GPS$27,729
- ExcelsiusGPS Robotic Navigation System$27,414
- iFuse Implant$25,013
- IFUSE IMPLANT SYSTEM$20,933
- O-ARM-ST$19,112
- MYSPINE$17,831
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$17,785
- ELSA, ELSA AL/ATP$14,250
- CLYDESDALE PTC SPINAL SYSTEM$11,512
- RIALTO$10,494
How this compares
$34,832,967 in reported general payments places this provider in the 95th percentile of 1,263 orthopaedic surgery providers in Florida.
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 |
|---|---|---|
| Meloxicam | 33 | $153 |
| Methylprednisolone | 13 | $107 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Melbourne
- Kenneth SandsMelbourne$407K
- Andrew CooperClearwater$102M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.