RxDoctor Payments Data

Samia Ghaffar, MD

Orthopaedic Surgery of the Spine · Fresno, CANPI 1093004988

Payments from drug & device makers

$10,274in general payments, 2019–2025

Across 105 payments — averaging $97.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Alphatec Spine, Inc$3K
  • Stryker$3K
  • Medical Device Business Services, Inc.$1K
  • Medtronic$1K
  • Globus Medical$742
  • Johnson & Johnson$505
  • plus $718 from 10 others

What the payments were for

  • Travel & lodging$7,11969%
  • Food & beverage$3,15531%

General payments by program year

19
20
21
22
23
24
25

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.

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

$10,274 in reported general payments places this provider in the 40th 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
$204,454
Medicare patients
263
Services billed
897

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen26$699

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Fresno

See the full list for California

Where these figures come from

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