Richard Wupperman, MD
Orthopaedic Surgery of the Spine · Austin, TXNPI 1760539647
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $790,488 of the $808,360 with a category attached, or 97.8%. Alphatec Spine, Inc accounts for 96.5% of it on its own, with 18 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 171 payments — averaging $4727.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$780K
- Zimvie Inc.$17K
- Highridge Medical LLC$6K
- Si-bone, Inc.$2K
- Zimmer Biomet$1K
- Medtronic$1K
- plus $2K from 13 others
What the payments were for
- Royalty or licence$790,48898%
- Consulting fees$3,8750%
- Travel & lodging$7,0301%
- Food & beverage$6,9671%
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 |
|---|---|---|
| Alphatec Spine, Inc | 55 | $780,381 |
| Zimvie Inc. | 8 | $16,591 |
| Highridge Medical LLC | 6 | $5,551 |
| Si-bone, Inc. | 36 | $1,706 |
| Zimmer Biomet | 4 | $1,141 |
| Medtronic(2 entities) | 22 | $1,047 |
| Globus Medical(2 entities) | 11 | $726 |
| Stryker | 12 | $405 |
| Abbott | 4 | $196 |
| Carlsmed, Inc. | 2 | $173 |
| Nexxt Spine LLC | 1 | $136 |
| Johnson & Johnson | 2 | $82 |
| Ulrich Medical USA, Inc. | 1 | $75 |
| Wenzel Spine, Inc. | 2 | $34 |
| Intrinsic Therapeutics | 1 | $31 |
| Spinal Elements, Inc. | 1 | $30 |
| Centinel Spine, LLC | 1 | $26 |
| Olympus America Inc. | 1 | $20 |
| Providence Medical Technology, Inc. | 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.
- Invictus MIS$680,784
- INVICTUS OPEN$54,002
- Other - Miscellaneous$41,838
- TrellOss-C SA$22,141
- TrellOss$375
- TM NextGen$375
- LIF$338
- Pulse$215
- IdentiTi$203
- UNID_PASS$167
- Battalion TLIF - PC$162
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$144
- SafeOp$143
- PROCLAIM$143
- Nexxt Spine Product Review$136
- O-ARM-Spine$124
- iFuse Implant$120
- aprevo$111
How this compares
$808,360 in reported general payments places this provider in the 90th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 266 | $3,026 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 141 | $1,697 |
| Methocarbamol | 12 | $303 |
| Oxycodone Hcl | 35 | $194 |
| Gabapentin | 14 | $88 |
| Tizanidine Hcl | 11 | $83 |
| Diazepam | 26 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Austin
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- Matthew GeckAustin$87K
- Jason ToyAustin$73K
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
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.