RxDoctor Payments Data

William Hotchkiss, MD

Orthopaedic Surgery of the Spine · Dallas, TXNPI 1568781250

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $313,888 of the $510,149 with a category attached, or 61.5%. Medtronic accounts for 91.7% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $115,977, 2.7 times the $42,906 reported in 2019. Among orthopaedic surgery of the spine clinicians in TX 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.

$510,149in general payments, 2019–2025

Across 558 payments — averaging $914.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$468K
  • Wound Management Technologies, Inc$23K
  • Sanara Medtech Inc.$12K
  • Tyber Medical, LLC$4K
  • Ulrich Medical USA, Inc.$1K
  • 4web, Inc.$1K
  • plus $2K from 11 others

What the payments were for

  • Consulting fees$152,29030%
  • Speaking & faculty fees$313,88862%
  • Travel & lodging$30,8036%
  • Food & beverage$13,1533%
  • Entertainment$160%

General payments by program year

19
20
21
22
23
24
25

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
Medtronic(2 entities)506$467,674
Wound Management Technologies, Inc8$22,817
Sanara Medtech Inc.2$11,800
Tyber Medical, LLC1$3,500
Ulrich Medical USA, Inc.3$1,188
4web, Inc.1$1,000
Titan Spine, LLC1$750
Arthrex12$581
Evolution Spine, LLC1$218
Limacorporate S.p.a.1$192
Pylant Medical8$156
Stryker4$104
Orthofix Medical, Inc.4$74
Amgen(2 entities)2$33
Johnson & Johnson2$24
Acuity Surgical Devices, LLC1$21
Ossur Americas, Inc.1$15

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

$510,149 in reported general payments places this provider in the 90th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas

Medicare billing

Part B allowed, 2024
$183,615
Medicare patients
288
Services billed
952

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen53$577
Methylprednisolone35$235
Gabapentin36$211
Methocarbamol25$157
Tramadol Hcl11$29

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Dallas

See the full list for Texas

Where these figures come from

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