Medical Doctor Program year 2024 Reported 2019–2024 Source: CMS Open Payments, 2026 publication

Richard Thunder

Orthopaedic Surgery of the Spine La Jolla, CA Medical Doctor

NPI 1780602276 CMS profile 171968

9850 Genesee Avenue, Suite 210, La Jolla, CA 92037

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General payments

$3,856

67 records reported · program years 2019–2024

Research payments

$0

Paid to them · None reported · program years 2019–2024

Ownership & investment interest

$0

None reported

Through program year 2024, Richard Thunder of La Jolla, CA is reported in the CMS Open Payments database as having received $3,856 across 67 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 30th percentile of Orthopaedic Surgery of the Spine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

6 rows
Year Kind Relative to this record's peak year Amount Records
2024 General $206 3
2023 General $728 11
2022 General $1,553 16
2021 General $514 12
2020 General $102 4
2019 General $753 21

Beside peers

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

In program year 2025, general payments to Richard Thunder were reported at $0. 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 Richard Thunder Orthopaedic Surgery of the Spine median Middle half National median
2019 $753 $2,106 $337–$18,608 $163
2020 $102 $1,213 $156–$15,082 $114
2021 $514 $1,834 $271–$15,617 $132
2022 $1,553 $2,015 $320–$17,036 $149
2023 $728 $1,925 $336–$14,599 $160
2024 $206 $2,110 $341–$12,483 $164
2025 $0 $2,061 $347–$14,651 $169

Breakdown

Who paid General payments · program years 2019–2024
  1. Globus Medical, Inc. $2,399 37 payments
  2. Davol Inc. $500 1 payment
  3. NuVasive, Inc. $418 9 payments
  4. Stryker Corporation $215 9 payments
  5. TissueTech, Inc. $135 1 payment
  6. Flexion Therapeutics, Inc. $59 3 payments
  7. Smith+Nephew, Inc. $43 2 payments
  8. Zimmer Biomet Holdings, Inc. $43 2 payments
  9. Trevena, Inc. $17 1 payment
  10. Elevate Surgical CO $14 1 payment
  11. Other $13 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2024
  1. Food and Beverage $3,201 59 payments
  2. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $500 1 payment
  3. Travel and Lodging $138 6 payments
  4. Education $17 1 payment
Products named General payments · program years 2019–2024
  1. COALITION Spine/Spine Surgery $329 5 payments
  2. COALITION Spine $276 3 payments
  3. CALIBER $260 4 payments
  4. CREO Spine/Joint $260 3 payments
  5. CREO Spine $185 2 payments
  6. CREO Degen $161 3 payments
  7. Preserve TLIF $131 2 payments
  8. VIACELL $123 1 payment
  9. CREO 5.5 $113 1 payment
  10. 3D Printed IBF $111 1 payment
  11. Other $925 33 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 · 13 drugs

Part D claims

478

Median for Orthopedic Surgery: 203

Drug cost

$4,189

Median for Orthopedic Surgery: $1,433

Branded share of claims

19.2%

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
Celecoxib Generic 45 $1,640
Diclofenac Sodium Generic 53 $527
Ibuprofen Generic 54 $362
Gabapentin Generic 49 $361
Meloxicam Generic 49 $281
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 51 $250
Acetaminophen-Codeine Acetaminophen With Codeine Brand 22 $168
Methylprednisolone Generic 21 $136
Tramadol Hcl Generic 66 $116
Cyclobenzaprine Hcl Generic 17 $104

The 10 drugs with the highest cost, of 13 counted.

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 · 99 billing codes

Paid by Medicare

$215,354

Of which drugs: $13,301

Medicare patients

630

Average age 76

Services billed

9,305

362 women, 268 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 69%
Osteoporosis 26%
Ischemic heart disease 25%
Depression 23%
Atrial fibrillation 22%
Chronic kidney disease 20%
Cancer 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324 Office 22 90 $8,402
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 183 1,290 $949
Injection, bupivicaine, not otherwise specified, 0.5 mg J0665 Office 154 5,492 $52

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

67 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 California

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 2024

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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