Vikram Parmar, MD
Orthopaedic Surgery of the Spine · Victorville, CANPI 1154392116
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 35 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Radius Health, Inc. at 26.3% of the total. Reporting peaked in 2019 at $328 and has fallen 59.3% since, to $133 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in CA, where the typical reported total is $17,657.
Across 35 payments — averaging $20.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Radius Health, Inc.$187
- Solventum Corporation$176
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$91
- Integra Lifesciences Corporation$69
- Medtronic$55
- Baxter Healthcare$45
- plus $88 from 4 others
What the payments were for
- Food & beverage$712100%
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 |
|---|---|---|
| Radius Health, Inc. | 20 | $187 |
| Solventum Corporation | 6 | $176 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $91 |
| Integra Lifesciences Corporation | 1 | $69 |
| Medtronic | 1 | $55 |
| Baxter Healthcare | 2 | $45 |
| Johnson & Johnson | 1 | $36 |
| Smith+Nephew | 1 | $20 |
| GSK | 1 | $19 |
| DJO, LLC | 1 | $13 |
How this compares
$712 in reported general payments places this provider in the 10th 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 | 65 | $1,343 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 48 | $1,286 |
| Cyclobenzaprine Hcl | 70 | $863 |
| Vitamin D2Ergocalciferol (Vitamin D2) | 42 | $504 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 32 | $330 |
| Gabapentin | 20 | $284 |
| Methylprednisolone | 12 | $97 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Victorville
- 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.