Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $98,120 | 27 | 46.6% |
| Consulting Fee | $71,775 | 18 | 34.1% |
| Travel and Lodging | $28,674 | 87 | 13.6% |
| Food and Beverage | $12,159 | 160 | 5.8% |
| Entertainment | $51.92 | 1 | 0.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Globus Medical, Inc. | $114,248 | 92 | $0 (2024) |
| Stryker Corporation | $82,589 | 95 | $0 (2024) |
| Medtronic, Inc. | $3,588 | 26 | $0 (2024) |
| Medtronic USA, Inc. | $2,476 | 22 | $0 (2019) |
| Providence Medical Technology, Inc. | $2,326 | 6 | $0 (2024) |
| Medical Device Business Services, Inc. | $1,721 | 6 | $0 (2023) |
| NuVasive, Inc. | $688.59 | 6 | $0 (2023) |
| SI-BONE, Inc. | $520.82 | 8 | $0 (2022) |
| DePuy Synthes Sales Inc. | $520.75 | 8 | $0 (2020) |
| Nevro Corp. | $412.49 | 4 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $2,765 | 18 | Providence Medical Technology, Inc. ($1,924) |
| 2023 | $23,138 | 32 | Globus Medical, Inc. ($9,806) |
| 2022 | $41,516 | 38 | Stryker Corporation ($21,531) |
| 2021 | $30,413 | 45 | Stryker Corporation ($20,711) |
| 2020 | $19,050 | 21 | Stryker Corporation ($10,565) |
| 2019 | $64,915 | 71 | Globus Medical, Inc. ($56,163) |
| 2018 | $26,629 | 45 | Stryker Corporation ($12,805) |
| 2017 | $2,354 | 23 | Medtronic USA, Inc. ($1,922) |
All Payment Transactions
293 individual payment records from CMS Open Payments — Page 1 of 12
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | Stryker Corporation | VITOSS (Device) | Food and Beverage | In-kind items and services | $24.69 | General |
| Category: BONE SUBSTITUTES | ||||||
| 12/03/2024 | Orthofix Medical, Inc. | OsteoStrand (Device) | Food and Beverage | In-kind items and services | $111.38 | General |
| Category: OrthoBiologics | ||||||
| 11/15/2024 | Providence Medical Technology, Inc. | — | Consulting Fee | Cash or cash equivalent | $1,500.00 | General |
| 09/28/2024 | Stryker Corporation | N/A (Device) | Food and Beverage | In-kind items and services | $38.20 | General |
| Category: NAVIGATION | ||||||
| 09/21/2024 | Stryker Corporation | EVEREST SPINAL SYSTEM (Device) | Food and Beverage | In-kind items and services | $118.18 | General |
| Category: SPINE | ||||||
| 09/19/2024 | Globus Medical, Inc. | Independence MIS (Device) | Food and Beverage | In-kind items and services | $14.99 | General |
| Category: Spine/Spine Surgery | ||||||
| 09/09/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $248.66 | General |
| 07/25/2024 | Medtronic, Inc. | MAZOR X SYSTEM (Device) | Food and Beverage | In-kind items and services | $132.83 | General |
| Category: Image Guided Surgery Products | ||||||
| 06/15/2024 | Medtronic, Inc. | UNID_PASS (Device) | Food and Beverage | In-kind items and services | $118.97 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 06/15/2024 | Medtronic, Inc. | UNID_PASS (Device) | Food and Beverage | In-kind items and services | $21.45 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 06/06/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $23.11 | General |
| 05/15/2024 | Centinel Spine, LLC | PRODISC L (Device) | Food and Beverage | Cash or cash equivalent | $27.83 | General |
| Category: Spine Implant | ||||||
| 04/08/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $151.88 | General |
| 03/01/2024 | Medtronic, Inc. | UNID_PASS (Device) | Food and Beverage | In-kind items and services | $7.28 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 02/22/2024 | Medtronic, Inc. | CD HORIZON SPINAL SYSTEM (Device) | Food and Beverage | In-kind items and services | $9.99 | General |
| Category: TL | ||||||
| 02/21/2024 | Medtronic, Inc. | MAZOR X SYSTEM (Device) | Food and Beverage | In-kind items and services | $140.77 | General |
| Category: Image Guided Surgery Products | ||||||
| 02/21/2024 | Medtronic, Inc. | UNID_PASS (Device) | Food and Beverage | In-kind items and services | $42.77 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 02/21/2024 | Medtronic, Inc. | CD HORIZON SPINAL SYSTEM (Device) | Travel and Lodging | In-kind items and services | $32.32 | General |
| Category: TL | ||||||
| 10/13/2023 | Stryker Corporation | RAVINE LATERAL ACCESS SYSTEM (Device) | Consulting Fee | Cash or cash equivalent | $7,475.00 | General |
| Category: SPINE | ||||||
| 10/09/2023 | Stryker Corporation | — | Travel and Lodging | Cash or cash equivalent | $445.63 | General |
| 09/27/2023 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $62.56 | General |
| 09/27/2023 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $27.03 | General |
| 09/22/2023 | Stryker Corporation | — | Travel and Lodging | Cash or cash equivalent | $169.86 | General |
| 09/22/2023 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $3.79 | General |
| 09/11/2023 | Medtronic, Inc. | UNID_PASS (Device) | Travel and Lodging | In-kind items and services | $17.29 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 193 | 220 | $99,885 | $24,799 |
| 2022 | 8 | 233 | 256 | $324,304 | $59,251 |
| 2021 | 9 | 248 | 278 | $244,264 | $45,795 |
| 2020 | 9 | 239 | 310 | $286,410 | $54,310 |
All Medicare Procedures & Services
31 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 74 | 74 | $34,599 | $9,423 | 27.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 71 | 91 | $32,346 | $8,955 | 27.7% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 11 | 17 | $22,525 | $3,676 | 16.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 15 | 15 | $4,665 | $1,383 | 29.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 22 | 23 | $5,750 | $1,362 | 23.7% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2022 | 14 | 14 | $79,572 | $12,171 | 15.3% |
| 22558 | Fusion of lower spine bone through abdomen with partial removal of disc | Facility | 2022 | 12 | 12 | $76,427 | $11,174 | 14.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 75 | 75 | $35,328 | $9,577 | 27.1% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2022 | 13 | 14 | $53,410 | $8,884 | 16.6% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 21 | 31 | $39,990 | $6,651 | 16.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 59 | 69 | $24,564 | $6,571 | 26.8% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 16 | 16 | $8,688 | $2,616 | 30.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 23 | 25 | $6,325 | $1,607 | 25.4% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 70 | 70 | $31,570 | $9,600 | 30.4% |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | Facility | 2021 | 12 | 13 | $47,749 | $7,796 | 16.3% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 60 | 74 | $25,902 | $7,449 | 28.8% |
| 22214 | Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (lumbar spine) to correct deformity | Facility | 2021 | 11 | 11 | $74,595 | $6,058 | 8.1% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2021 | 21 | 29 | $34,947 | $5,900 | 16.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 24 | 24 | $12,672 | $3,997 | 31.5% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 17 | 20 | $7,160 | $2,244 | 31.3% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 22 | 26 | $6,370 | $1,860 | 29.2% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 11 | 11 | $3,300 | $891.61 | 27.0% |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | Facility | 2020 | 14 | 48 | $99,264 | $16,110 | 16.2% |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | Facility | 2020 | 12 | 12 | $48,360 | $7,815 | 16.2% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 57 | 57 | $26,676 | $7,051 | 26.4% |
About Dr. Alexander Ropper, M.D
Dr. Alexander Ropper, M.D is a Neurological Surgery healthcare provider based in Houston, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/09/2009. The National Provider Identifier (NPI) number assigned to this provider is 1497998264.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Alexander Ropper, M.D has received a total of $210,779 in payments from pharmaceutical and medical device companies, with $2,765 received in 2024. These payments were reported across 293 transactions from 22 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($98,120).
As a Medicare-enrolled provider, Ropper has provided services to 913 Medicare beneficiaries, totaling 1,064 services with total Medicare billing of $184,155. Data is available for 4 years (2020–2023), covering 31 distinct procedure/service records.
Practice Information
- Specialty Neurological Surgery
- Location Houston, TX
- Active Since 04/09/2009
- Last Updated 12/01/2020
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1497998264
Products in Payments
- ELSA ATP (Device) $29,295
- RAVINE LATERAL ACCESS SYSTEM (Device) $18,581
- QUARTEX (Device) $16,824
- NIAGARA LATERAL ACCESS SYSTEM (Device) $12,350
- RISE-L (Device) $12,076
- LATERAL ACCESS SPINAL SYSTEM (Device) $11,200
- MAGNIFY-S (Device) $10,699
- Anterior to Psoas (Device) $10,400
- ELSA, ELSA AL/ATP (Device) $9,216
- ELSA (Device) $9,131
- CORBEL (Device) $8,015
- ARIA (Device) $7,252
- CAYMAN PLATE SYSTEM (Device) $7,150
- CASCADIA INTERBODY SYSTEM (Device) $5,119
- TRITANIUM (Device) $5,050
- CALIBER (Device) $3,743
- EVEREST SPINAL SYSTEM (Device) $3,002
- ES2 (Device) $2,800
- SPACE-D SYSTEM 5.5/6.0 VOYAGER INSTRUMENT SET (Device) $2,320
- NEW PRODUCT DEVELOPMENT (Device) $2,122
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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