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

James Billys

Orthopaedic Surgery of the Spine Odessa, FL Medical Doctor

NPI 1831164870 CMS profile 128612

2040 Short Ave, Odessa, FL 33556

Open in the dashboard

General payments

$1,851,926

262 records reported · program years 2019–2025

Research payments

$0

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

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$4,850 paid to institutions, not to them · program years 2019–2021

Through program year 2025, James Billys of Odessa, FL is reported in the CMS Open Payments database as having received $1,851,926 across 262 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $4,850 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 97th 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 $344,984 18
2024 General $299,012 25
2023 General $319,690 30
2022 General $274,614 35
2021 General $175,431 56
2020 General $205,975 37
2019 General $232,219 61

Beside peers

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

In program year 2025, general payments to James Billys were reported at $344,984. 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 James Billys Orthopaedic Surgery of the Spine median Middle half National median
2019 $232,219 $2,106 $337–$18,608 $163
2020 $205,975 $1,213 $156–$15,082 $114
2021 $175,431 $1,834 $271–$15,617 $132
2022 $274,614 $2,015 $320–$17,036 $149
2023 $319,690 $1,925 $336–$14,599 $160
2024 $299,012 $2,110 $341–$12,483 $164
2025 $344,984 $2,061 $347–$14,651 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. NuVasive, Inc. $1,037,067 83 payments
  2. Globus Medical, Inc. $642,246 30 payments
  3. Alphatec Spine, Inc $73,572 23 payments
  4. Republic Spine, LLC $37,318 5 payments
  5. Providence Medical Technology, Inc. $22,492 4 payments
  6. Integrity Implants Inc $13,612 25 payments
  7. Centinel Spine, LLC $6,987 7 payments
  8. Baxter Healthcare $4,743 7 payments
  9. Seaspine Orthopedics Corporation $3,876 7 payments
  10. Osseus Fusion Systems, LLC $3,231 3 payments
  11. Other $6,783 68 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Royalty or License $1,708,617 51 payments
  2. Consulting Fee $96,725 35 payments
  3. Travel and Lodging $30,127 45 payments
  4. Food and Beverage $11,193 128 payments
  5. Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program $3,200 1 payment
  6. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $1,250 1 payment
  7. Long term medical supply or device loan $814 1 payment
Products named General payments · program years 2019–2025
  1. Modulus $1,231,564 18 payments
  2. Precept Spine/Spine Surgery $692,242 11 payments
  3. Precept Spine/Spine Surgery $189,637 6 payments
  4. XLIF Spine/Spine Surgery $55,238 12 payments
  5. AttraX $44,696 1 payment
  6. Battalion LLIF $32,641 17 payments
  7. BATALLION LATERAL $31,093 3 payments
  8. ELSA $10,082 5 payments
  9. XLIF Spine/Spine Surgery $9,243 25 payments
  10. ALIF $8,660 12 payments
  11. Other $64,682 121 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 · 9 drugs

Part D claims

187

Median for Orthopedic Surgery: 203

Drug cost

$3,676

Median for Orthopedic Surgery: $1,433

Branded share of claims

17.6%

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
Pregabalin Generic 27 $1,296
Celecoxib Generic 15 $1,092
Gabapentin Generic 30 $393
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 33 $276
Methylprednisolone Generic 13 $184
Oxycodone Hcl Generic 13 $142
Tramadol Hcl Generic 25 $129
Duloxetine Hcl Generic 13 $111
Meloxicam Generic 18 $55

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 · 92 billing codes

Paid by Medicare

$162,125

Of which drugs: $603

Medicare patients

179

Average age 73

Services billed

4,147

91 women, 88 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
Arthritis 75%
High blood pressure 74%
Ischemic heart disease 46%
Diabetes 39%
Chronic kidney disease 38%
Depression 38%
COPD 29%
Heart failure 24%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, methylprednisolone acetate, 1 mg J1010 Office 33 3,230 $330
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702 Office 12 26 $141

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.

Records

262 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 Florida

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.

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