Tyler Smith, MD
Orthopaedic Surgery of the Spine · Roseville, CANPI 1386650802
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (58.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Alphatec Spine, Inc accounts for 80.5% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $390,573, 2.9 times the $136,070 reported in 2019. Among orthopaedic surgery of the spine clinicians in CA 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 386 payments — averaging $2701.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$839K
- Globus Medical$193K
- Si-bone, Inc.$6K
- Augmedics Inc.$3K
- Providence Medical Technology, Inc.$693
- Intrinsic Therapeutics$335
- plus $2K from 19 others
What the payments were for
- Royalty or licence$606,52558%
- Consulting fees$373,53036%
- Speaking & faculty fees$2,5000%
- Grants$2500%
- Travel & lodging$46,4924%
- Food & beverage$12,2291%
- Education$9000%
- Entertainment$4900%
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 | 274 | $839,106 |
| Globus Medical(2 entities) | 36 | $192,656 |
| Si-bone, Inc. | 15 | $5,776 |
| Augmedics Inc. | 15 | $2,845 |
| Providence Medical Technology, Inc. | 10 | $693 |
| Intrinsic Therapeutics | 5 | $335 |
| Stryker | 2 | $278 |
| Zimvie Inc. | 3 | $186 |
| Zimmer Biomet | 6 | $148 |
| Medtronic | 1 | $119 |
| Encore Medical, LP | 1 | $116 |
| Centinel Spine, LLC | 2 | $114 |
| Johnson & Johnson | 2 | $92 |
| Kahtnu Surgical, Inc. | 2 | $81 |
| DJO, LLC | 2 | $71 |
| Wenzel Spine, Inc. | 1 | $64 |
| Kerecis Limited | 1 | $40 |
| Spineology Inc. | 1 | $34 |
| Z-medica, LLC | 1 | $29 |
| GSK | 1 | $27 |
| Boston Scientific | 1 | $26 |
| Nevro Corp. | 1 | $24 |
| Evolution Surgical, Inc | 1 | $23 |
| Painteq LLC | 1 | $18 |
| Philips North America LLC | 1 | $13 |
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.
- Other - Miscellaneous$488,528
- SafeOp$144,328
- CoRoent$123,280
- Nuvaline/NuvaMap O.R.$53,750
- KODIAK$28,750
- INVICTUS OPEN$24,102
- TLIF$18,750
- Autobahn$18,678
- Xvision$13,237
- Invictus MIS$10,397
- IdentiTi$9,578
- AMP$9,000
- Lateral$5,925
- iFuse Implant$5,130
- Battalion TLIF - PC$4,000
- LIF$2,084
- LTP$500
- MULTIPLE$430
- Battalion PLIF - PS$338
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$280
How this compares
$1,042,915 in reported general payments places this provider in the 90th percentile of 288 orthopaedic surgery of the spine providers in California.
See all orthopaedic surgery of the spine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 81 | $918 |
| Gabapentin | 17 | $221 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $216 |
| Methylprednisolone | 12 | $58 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Roseville
- Hyun BaeSanta Monica$56.8M
- Choll KimSan Diego$4M
- Stacey BedermanOrange$3.7M
- Gregory Mundisla Jolla$3.3M
- Paul SlosarDaly City$3.1M
- Babak Barcohanavan Nuys$2.9M
- Neelakantan AnandLos Angeles$2.9M
- Sanjay KhuranaMarina del Rey$2.3M
- Neville AlleyneOceanside$2.2M
- Rick DelamarterSanta Monica$2.2M
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.