Shane Burch, MD
Surgery · San Francisco, CANPI 1689600546
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 86.3% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $153,657 and has fallen 73.1% since, to $41,261 in 2025. Among surgery clinicians in CA 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 553 payments — averaging $904.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$432K
- Globus Medical$46K
- Stryker$19K
- Synthes GmbH$2K
- Alphatec Spine, Inc$1K
- Arthrex$357
- plus $465 from 5 others
What the payments were for
- Consulting fees$183,87137%
- Speaking & faculty fees$247,55649%
- Travel & lodging$50,69910%
- Food & beverage$18,0634%
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) | 394 | $431,788 |
| Globus Medical(2 entities) | 131 | $45,626 |
| Stryker | 11 | $18,765 |
| Synthes GmbH | 3 | $1,992 |
| Alphatec Spine, Inc | 4 | $1,197 |
| Arthrex | 2 | $357 |
| Si-bone, Inc. | 2 | $188 |
| Intrinsic Therapeutics | 2 | $157 |
| Johnson & Johnson | 2 | $44 |
| Evolution Surgical, Inc | 1 | $44 |
| Amgen | 1 | $32 |
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.
- PIVOX Oblique Lateral Spinal System$70,131
- CD HORIZON SPINAL SYSTEM$57,969
- CD HORIZON$29,523
- O-ARM$28,250
- O-ARM-ST$25,409
- MAZOR X SYSTEM$23,118
- DIVERGENCE-L ANTERIOR/OBLIQUE LUMBAR FUSION SYSTEM$20,050
- DIVERGENCE-L$20,000
- MazorX - Renaissance$19,228
- EVEREST SPINAL SYSTEM$15,750
- Excelsius - GPS$14,784
- XLIF$13,911
- CLYDESDALE$13,830
- STEALTHSTATION S8 PLATFORM$12,973
- Mazor X Stealth Edition$9,489
- O-ARM-Spine$9,465
- ELSA$9,318
- UNID_PASS$7,195
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$4,623
- StealthStation$3,400
How this compares
$500,189 in reported general payments places this provider in the 95th percentile of 2,363 surgery providers in California.
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.
Other surgery in San Francisco
- Timothy ChuterSan Francisco$8.8M
- Charles EichlerSan Francisco$310K
- Michael AlvaradoSan Francisco$201K
- Scott HansenSan Francisco$186K
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$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.