RxDoctor Payments Data

Wayne Bruffett, MD

Orthopaedic Surgery of the Spine · North Little Rock, ARNPI 1952389280

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $2,400 of the $3,826 with a category attached, or 62.7%. 9 manufacturers reported payments, led by Spine Wave, Inc. at 52.6% of the total. Reporting peaked in 2019 at $2,422 and has fallen 95.4% since, to $111 in 2024.

$3,826in general payments, 2019–2025

Across 64 payments — averaging $59.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Spine Wave, Inc.$2K
  • Medical Device Business Services, Inc.$900
  • Johnson & Johnson$484
  • Medtronic$182
  • Globus Medical$99
  • Midsouth Orthopedics Inc.$56
  • plus $92 from 3 others

What the payments were for

  • Consulting fees$2,40063%
  • Food & beverage$1,42637%

General payments by program year

19
20
21
22
23
24

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.

CompanyPaymentsTotal
Spine Wave, Inc.24$2,013
Medical Device Business Services, Inc.1$900
Johnson & Johnson23$484
Medtronic3$182
Globus Medical6$99
Midsouth Orthopedics Inc.2$56
Spinal Elements, Inc.2$34
Amgen2$32
Si-bone, Inc.1$26

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.

How this compares

Too few orthopaedic surgery of the spine providers in Arkansasto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$288,635
Medicare patients
416
Services billed
1,307

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

DrugClaimsCost to plans & patients
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen50$844
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen34$565
Gabapentin17$185
Methylprednisolone21$144
Meloxicam47$137
Tizanidine Hcl11$117

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in North Little Rock

See the full list for Arkansas

Where these figures come from

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