RxDoctor Payments Data

Richard Thunder, MD

Orthopaedic Surgery of the Spine · la Jolla, CANPI 1780602276

Payments from drug & device makers

$3,856in general payments, 2019–2025

Across 67 payments — averaging $57.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$3K
  • Davol Inc.$500
  • Stryker$215
  • Biotissue Holdings Inc.$135
  • Pacira Therapeutics, Inc.$59
  • Smith+Nephew$43
  • plus $87 from 4 others

What the payments were for

  • Speaking & faculty fees$50013%
  • Travel & lodging$1384%
  • Food & beverage$3,20183%
  • Education$170%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24

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.

CompanyPaymentsTotal
Globus Medical(2 entities)46$2,818
Davol Inc.1$500
Stryker9$215
Biotissue Holdings Inc.1$135
Pacira Therapeutics, Inc.3$59
Smith+Nephew2$43
Zimmer Biomet2$43
Trevena, Inc.1$17
Elevate Surgical Co1$14
Endo Pharmaceuticals 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.

How this compares

$3,856 in reported general payments places this provider in the 25th percentile of 288 orthopaedic surgery of the spine providers in California.

See all orthopaedic surgery of the spine providers in California

Medicare billing

Part B allowed, 2024
$283,393
Medicare patients
630
Services billed
9,305

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

DrugClaimsCost to plans & patients
Celecoxib45$1,640
Diclofenac Sodium53$527
Ibuprofen54$362
Gabapentin49$361
Meloxicam49$281
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen51$250
Acetaminophen-CodeineAcetaminophen With Codeine22$168
Methylprednisolone21$136
Tramadol Hcl66$116
Cyclobenzaprine Hcl17$104
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen19$101
Pregabalin14$95
Amoxicillin18$48

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in la Jolla

See the full list for California

Where these figures come from

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