Orthopaedic Surgery of the Spine: industry payments
Drug and device makers reported $548,212,835 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 2,108
- Received a payment
- 2,103 (99.8%)
- Total reported
- $548.2M
- Average, those paid
- $260,681
The average is computed only over providers who received something, because including the 5 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays orthopaedic surgery of the spine clinicians
Across 1,578 orthopaedic surgery of the spine clinicians who billed Original Medicare Part B in 2024, Medicare allowed $319,348,207 in total — an average of $202,375 each, of which $198,771 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| California | 288 | $125,772,933 | $436,712 |
| Missouri | 53 | $72,331,566 | $1,364,747 |
| New York | 161 | $55,205,703 | $342,893 |
| Florida | 159 | $36,550,494 | $229,877 |
| Maryland | 49 | $34,748,939 | $709,162 |
| Texas | 207 | $31,812,495 | $153,684 |
| Colorado | 69 | $22,900,086 | $331,885 |
| Kentucky | 29 | $15,889,919 | $547,928 |
| Georgia | 57 | $13,610,043 | $238,773 |
| Washington | 61 | $11,540,524 | $189,189 |
| Wisconsin | 11 | $11,014,172 | $1,001,288 |
| Illinois | 64 | $10,868,050 | $169,813 |
| Arizona | 64 | $10,814,515 | $168,977 |
| South Carolina | 32 | $9,681,664 | $302,552 |
| Indiana | 48 | $9,577,911 | $199,540 |
| Virginia | 43 | $7,815,090 | $181,746 |
| Pennsylvania | 43 | $5,959,781 | $138,600 |
| Massachusetts | 28 | $5,646,048 | $201,645 |
| Ohio | 64 | $5,366,056 | $83,845 |
| Nevada | 30 | $3,868,472 | $128,949 |
| Connecticut | 25 | $3,867,915 | $154,717 |
| Tennessee | 51 | $3,613,010 | $70,843 |
| New Jersey | 84 | $3,550,692 | $42,270 |
| Oregon | 22 | $3,440,466 | $156,385 |
| District of Columbia | 7 | $3,076,131 | $439,447 |
| Michigan | 37 | $3,034,354 | $82,010 |
| New Hampshire | 8 | $2,717,271 | $339,659 |
| Utah | 16 | $2,472,930 | $154,558 |
| North Carolina | 32 | $2,405,006 | $75,156 |
| Oklahoma | 21 | $2,379,557 | $113,312 |
| Alabama | 20 | $2,252,088 | $112,604 |
| Idaho | 12 | $2,021,568 | $168,464 |
| Minnesota | 39 | $1,630,783 | $41,815 |
| New Mexico | 6 | $1,445,329 | $240,888 |
| Kansas | 16 | $1,267,012 | $79,188 |
| Louisiana | 29 | $1,210,313 | $41,735 |
| Vermont | 3 | $1,164,068 | $388,023 |
| Arkansas | 9 | $1,098,695 | $122,077 |
| Wyoming | 8 | $1,019,217 | $127,402 |
| Puerto Rico | 13 | $770,453 | $59,266 |
| Rhode Island | 6 | $608,934 | $101,489 |
| Iowa | 16 | $539,607 | $33,725 |
| Montana | 6 | $431,990 | $71,998 |
| Mississippi | 12 | $395,861 | $32,988 |
| Alaska | 13 | $363,723 | $27,979 |
| West Virginia | 6 | $216,020 | $36,003 |
| Nebraska | 16 | $113,043 | $7,065 |
| Delaware | 7 | $85,652 | $12,236 |
| Hawaii | 3 | $23,242 | $7,747 |
| South Dakota | 3 | $10,686 | $3,562 |
| Maine | 1 | $7,593 | $7,593 |