Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Ajeya Joshi

Orthopaedic Surgery of the Spine San Antonio, TX Medical Doctor

NPI 1497796643 CMS profile 22044

18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258

Open in the dashboard

General payments

$5,400

98 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Ajeya Joshi of San Antonio, TX is reported in the CMS Open Payments database as having received $5,400 across 98 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 35th percentile of Orthopaedic Surgery of the Spine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $637 17
2024 General $3,263 42
2023 General $119 4
2022 General $244 5
2021 General $795 14
2020 General $234 12
2019 General $107 4

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ajeya Joshi
  • Orthopaedic Surgery of the Spine median
  • Middle half of Orthopaedic Surgery of the Spine
  • National median

In program year 2025, general payments to Ajeya Joshi were reported at $637. Among 1,704 Orthopaedic Surgery of the Spine profiles paid that year, the median was $2,061 and the middle half received between $347 and $14,651.

Show as a table
Year Ajeya Joshi Orthopaedic Surgery of the Spine median Middle half National median
2019 $107 $2,106 $337–$18,608 $163
2020 $234 $1,213 $156–$15,082 $114
2021 $795 $1,834 $271–$15,617 $132
2022 $244 $2,015 $320–$17,036 $149
2023 $119 $1,925 $336–$14,599 $160
2024 $3,263 $2,110 $341–$12,483 $164
2025 $637 $2,061 $347–$14,651 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Mission Medical Distribution, LLC $1,891 13 payments
  2. Nevro Corp. $653 9 payments
  3. Arthrex, Inc. $521 4 payments
  4. Amgen Inc. $403 20 payments
  5. SI-BONE, Inc. $402 5 payments
  6. Orthofix Medical, Inc. $351 16 payments
  7. Radius Health, Inc. $284 10 payments
  8. NuVasive, Inc. $165 1 payment
  9. Seaspine Orthopedics Corporation $140 1 payment
  10. Baxter Healthcare $85 2 payments
  11. Other $504 17 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,113 81 payments
  2. Travel and Lodging $2,201 6 payments
  3. Education $80 10 payments
  4. Entertainment $7 1 payment
Products named General payments · program years 2019–2025
  1. Senza $495 7 payments
  2. IFUSE IMPLANT $402 5 payments
  3. EVENITY $347 13 payments
  4. Prolia $271 11 payments
  5. 7D Surgical System $223 2 payments
  6. Simplify Cervical Artificial Disc $165 1 payment
  7. Tymlos Endocrinology $161 8 payments
  8. Omnia $159 2 payments
  9. Accell Evo3c $140 1 payment
  10. Tymlos Endocrinology $122 2 payments
  11. Other $613 29 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 10 drugs

Part D claims

618

Median for Orthopedic Surgery: 203

Drug cost

$4,998

Median for Orthopedic Surgery: $1,433

Branded share of claims

12.3%

Median for Orthopedic Surgery: 11.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 76 $1,152
Cyclobenzaprine Hcl Generic 116 $1,028
Methocarbamol Generic 113 $993
Gabapentin Generic 87 $810
Celecoxib Generic 12 $397
Meloxicam Generic 163 $374
Methylprednisolone Generic 15 $114
Tizanidine Hcl Generic 12 $98
Tramadol Hcl Generic 13 $19
Pantoprazole Sodium Generic 11 $13

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 56 billing codes

Paid by Medicare

$163,379

Medicare's payments for the services billed

Medicare patients

350

Average age 74

Services billed

1,330

204 women, 146 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Osteoporosis 36%
Diabetes 34%
Ischemic heart disease 31%
Chronic kidney disease 25%
Depression 21%
Atrial fibrillation 15%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

3 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
EVENITY
  • Amgen Inc. $155
$155 — —
Tymlos
  • Radius Health, Inc. $108
$108 — —
Prolia
  • Amgen Inc. $78
$78 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

98 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery of the Spine in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record