Trevor Schmitz, MD
Orthopaedic Surgery of the Spine · Des Moines, IANPI 1326364449
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,498 of the $5,632 with a category attached, or 62.1%. Medtronic accounts for 68.6% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $2,586 and has fallen 88.9% since, to $287 in 2025.
Across 132 payments — averaging $42.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Johnson & Johnson$898
- Stryker$247
- DJO, LLC$147
- Biocomposites Inc$121
- Centinel Spine, LLC$121
- plus $231 from 4 others
What the payments were for
- Consulting fees$1,51327%
- Travel & lodging$62211%
- Food & beverage$3,49862%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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) | 113 | $3,866 |
| Johnson & Johnson | 9 | $898 |
| Stryker | 2 | $247 |
| DJO, LLC | 1 | $147 |
| Biocomposites Inc | 1 | $121 |
| Centinel Spine, LLC | 1 | $121 |
| Smaio USA Corporation | 1 | $105 |
| Lifenet Health | 1 | $79 |
| Orthofix Medical, Inc. | 2 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
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.
- UNID_PASS$1,150
- MAZOR X SYSTEM$716
- CD HORIZON SPINAL SYSTEM$488
- CMF$147
- Teligen$131
- Stimulan$121
- PRODISC L$121
- VIPER$119
- SYMPHONY$119
- EXPEDIUM$119
- StealthStation$105
How this compares
Too few orthopaedic surgery of the spine providers in Iowato 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 |
|---|---|---|
| Cyclobenzaprine Hcl | 83 | $346 |
| Gabapentin | 49 | $257 |
| Methylprednisolone | 32 | $236 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $80 |
| Meloxicam | 27 | $54 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Des Moines
- Daniel McGuireDes Moines$325
- Andrew PugelyIowa City$208K
- Joshua BarberCedar Rapids$112K
- Brian HandalWest Des Moines$92K
- Catherine OlingerIowa City$51K
- Mark PalitClarion$19K
- Zaki IbrahimClive$19K
- Evan LarsonIowa City$9K
- Mitchell HughesWest Des Moines$9K
- Michael ChapmanDubuque$9K
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.