Steven Spitz, MD
Neurological Surgery · Canton, GANPI 1720213895
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Spineart USA Inc at 36.8% of the total. Among neurological surgery clinicians in GA 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 314 payments — averaging $788.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spineart USA Inc$91K
- Neo Spine USA, Inc.$79K
- Stryker$36K
- Mirus, LLC$17K
- Intrinsic Therapeutics$5K
- Alphatec Spine, Inc$5K
- plus $14K from 24 others
What the payments were for
- Royalty or licence$7,2023%
- Consulting fees$121,25149%
- Travel & lodging$97,72139%
- Food & beverage$21,3259%
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 |
|---|---|---|
| Spineart USA Inc | 87 | $91,167 |
| Neo Spine USA, Inc. | 37 | $78,763 |
| Stryker | 63 | $36,489 |
| Mirus, LLC | 8 | $17,092 |
| Intrinsic Therapeutics | 16 | $5,228 |
| Alphatec Spine, Inc | 10 | $5,037 |
| Nevro Corp. | 28 | $2,642 |
| Silony Medical Corp. | 2 | $2,573 |
| Spineart SA | 10 | $2,269 |
| Globus Medical(2 entities) | 10 | $1,368 |
| Synaptive Medical Inc. | 3 | $1,314 |
| Si-bone, Inc. | 7 | $1,074 |
| Medtronic(2 entities) | 7 | $593 |
| Orthofix Medical, Inc. | 3 | $315 |
| Boston Scientific | 2 | $218 |
| Innovasis Inc | 1 | $213 |
| Providence Medical Technology, Inc. | 3 | $193 |
| Abbott | 2 | $188 |
| Alafair Biosciences, Inc. | 1 | $162 |
| Carlsmed, Inc. | 2 | $133 |
| Biocomposites Inc | 1 | $99 |
| Nexxt Spine LLC | 3 | $99 |
| Axogen | 1 | $76 |
| Checkpoint Surgical, Inc | 1 | $58 |
| Vertex | 1 | $32 |
| Xtant Medical Inc | 1 | $31 |
| Microtransponder, Inc. | 1 | $24 |
| Bioventus LLC | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $16 |
| Lemaitre Vascular, Inc. | 1 | $12 |
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.
- Neo Pedicle Screw System$78,464
- ARIA$21,373
- TRITANIUM$20,769
- Perla TL$17,812
- EUROPA Pedicle Screw System$17,077
- CYGNUS Anterior Cervical Plate$17,077
- ES2$16,895
- CASCADIA$11,021
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$9,951
- EVEREST$9,750
- Juliet LL$8,229
- MiRus 3DR Lumbar Interbody System$7,202
- XIA$7,201
- IO Expandable Lumbar Interbody$6,162
- RIGEL 3DR Cervical Interbody$6,162
- RAVINE LATERAL ACCESS SYSTEM$5,305
- CASCADIA INTERBODY SYSTEM$5,139
- Other - Miscellaneous$4,497
- CAYMAN PLATE SYSTEM$4,000
- PERLA C$2,824
How this compares
$247,498 in reported general payments places this provider in the 90th percentile of 201 neurological surgery providers in Georgia.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 104 | $1,130 |
| Gabapentin | 86 | $816 |
| Methocarbamol | 50 | $512 |
| Methylprednisolone | 82 | $467 |
| Pregabalin | 13 | $141 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $124 |
| Tramadol Hcl | 18 | $99 |
| Hydromorphone Hcl | 13 | $72 |
| Diazepam | 23 | $29 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Canton
- Regis HaidAtlanta$25.5M
- John CowanRome$3.2M
- Thomas MorrisonAtlanta$2.8M
- Christopher TomarasAtlanta$1.5M
- Daniel RefaiAtlanta$1.2M
- Gerald RodtsAtlanta$1.2M
- Betsy GrunchGainesville$1.1M
- James RobinsonAtlanta$993K
- Michele JohnsonAtlanta$540K
- Igor de CastroMacon$450K
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.