Richard Manos, MD
Orthopaedic Surgery of the Spine · Mount Vernon, WANPI 1356451249
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $22,802 of the $26,362 with a category attached, or 86.5%. Medacta USA, Inc. accounts for 86.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $10,288 and has fallen 98.0% since, to $207 in 2025.
Across 61 payments — averaging $432.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$23K
- Globus Medical$3K
- Medtronic$653
- Clariance, Inc.$125
- GS Solutions, Inc.$63
- Carlsmed, Inc.$61
- plus $47 from 3 others
What the payments were for
- Royalty or licence$22,80286%
- Travel & lodging$1,9677%
- Food & beverage$1,5936%
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 |
|---|---|---|
| Medacta USA, Inc. | 21 | $22,802 |
| Globus Medical | 18 | $2,611 |
| Medtronic | 14 | $653 |
| Clariance, Inc. | 1 | $125 |
| GS Solutions, Inc. | 2 | $63 |
| Carlsmed, Inc. | 2 | $61 |
| Si-bone, Inc. | 1 | $19 |
| EBI, LLC | 1 | $15 |
| Zimvie Inc. | 1 | $13 |
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.
- MECTALIF$14,401
- MUST$8,299
- MONUMENT$1,745
- ExcelsiusGPS Robotic Navigation System$270
- MAZOR X SYSTEM$246
- HEDRON IA$150
- Excelsius - GPS$149
- Mazor X Stealth Edition$130
- Erisma-LP$125
- Erisma-LP MIS$125
- Idys-ALIF ZP 3DTi$125
- RISE$113
How this compares
$26,362 in reported general payments places this provider in the 70th percentile of 61 orthopaedic surgery of the spine providers in Washington.
See all orthopaedic surgery of the spine providers in Washington →
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 |
|---|---|---|
| Gabapentin | 61 | $678 |
| Diclofenac Sodium | 14 | $530 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 55 | $499 |
| Tramadol Hcl | 24 | $465 |
| Cyclobenzaprine Hcl | 28 | $340 |
| Methylprednisolone | 17 | $98 |
| Oxycodone Hcl | 13 | $95 |
| Mupirocin | 12 | $93 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Mount Vernon
- David MourningMount Vernon$21K
- Dawei LuMount Vernon$20K
- Richard MorrisMount Vernon$19K
- Antoine TohmehSpokane$4.3M
- Rajiv SethiSeattle$2.9M
- Mark FreebornKirkland$1.8M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
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.