Steven Beer, MD
Neurological Surgery · Cheyenne, WYNPI 1588633291
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $159,290 of the $167,507 with a category attached, or 95.1%. Alphatec Spine, Inc accounts for 91.7% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2019 at $45,879 and has fallen 76.5% since, to $10,781 in 2025.
Across 196 payments — averaging $854.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$154K
- Aesculap Implant Systems, LLC$6K
- International Rehabilitative Sciences, Inc$3K
- Abbott$845
- Medtronic$814
- Johnson & Johnson$613
- plus $2K from 25 others
What the payments were for
- Royalty or licence$159,29095%
- Food & beverage$4,8903%
- Other$3,3282%
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 | 32 | $153,662 |
| Aesculap Implant Systems, LLC | 7 | $5,836 |
| International Rehabilitative Sciences, Inc | 2 | $3,342 |
| Abbott | 37 | $845 |
| Medtronic(2 entities) | 29 | $814 |
| Johnson & Johnson(2 entities) | 12 | $613 |
| Boston Scientific | 20 | $587 |
| Stryker | 5 | $489 |
| Si-bone, Inc. | 9 | $227 |
| Camber Spine Technologies LLC | 3 | $174 |
| AstraZeneca(2 entities) | 6 | $126 |
| Augmedics Inc. | 3 | $100 |
| Baxter Healthcare | 3 | $81 |
| Nevro Corp. | 3 | $74 |
| Portola Pharmaceuticals, LLC | 4 | $72 |
| Arbor Pharmaceuticals, Inc. | 3 | $58 |
| Orthofix Medical, Inc. | 2 | $58 |
| Relievant Medsystems, Inc. | 1 | $51 |
| Acera Surgical, Inc. | 1 | $40 |
| Kls-martin L.p. | 2 | $29 |
| Integra Lifesciences Corporation | 2 | $27 |
| Haemonetics Corporation | 1 | $25 |
| CTL Medical Corporation | 1 | $24 |
| Merck | 1 | $23 |
| Globus Medical | 1 | $22 |
| Choice Spine, LLC | 1 | $22 |
| Spineology Inc. | 1 | $20 |
| Xtant Medical Inc | 1 | $20 |
| Carlsmed, Inc. | 1 | $18 |
| Monteris Medical Corporation | 1 | $17 |
| Seaspine Orthopedics Corporation | 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.
- Trestle Luxe$130,882
- OsseoScrew$114,549
- TRESTLE$15,734
- Other - Miscellaneous$6,652
- RS-4i Plus with Intersperse$3,328
- TABLESS S4$1,844
- S4 ELEMENT SPINAL SYSTEM$1,744
- S4 SPINAL SYSTEM$1,558
- AESCULAP$661
- SONOPET IQ$461
- CORE$345
- Arsenal Deformity$208
- PROCLAIM$156
- EXPEDIUM$114
How this compares
Too few neurological surgery providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 | 14 | $219 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $166 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Cheyenne
- Claudio FelerCheyenne$5.3M
- Judson CookCheyenne$25K
- Jonas SheehanCheyenne$40
- Thomas KopitnikCasper$79K
- Robert NarotzkyCasper$61K
- Glen PoffenbargerCody$55K
- Wayne WarrenCasper$8K
- Paul MatzCasper$217
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.