Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $346,232 | 68 | 35.2% |
| Consulting Fee | $329,621 | 114 | 33.5% |
| Unspecified | $182,500 | 21 | 18.6% |
| Travel and Lodging | $75,562 | 137 | 7.7% |
| Food and Beverage | $30,787 | 557 | 3.1% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $17,831 | 5 | 1.8% |
| Entertainment | $103.71 | 3 | 0.0% |
Payments by Type
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Globus Medical, Inc. | $243,426 | 98 | $0 (2024) |
| Stryker Corporation | $242,914 | 294 | $0 (2024) |
| Royal Biologics, Inc. | $201,968 | 64 | $0 (2024) |
| 4WEB, Inc. | $109,798 | 345 | $0 (2024) |
| Smart-Surgical Inc. dba Burst Biologics | $105,500 | 4 | $0 (2021) |
| MEDICAL INVESTMENT ADVISORS LLC | $38,260 | 18 | $0 (2021) |
| SPINEART SA | $17,521 | 3 | $0 (2023) |
| Intelivation Technologies, LLC | $11,125 | 5 | $0 (2024) |
| Spineart USA Inc | $6,656 | 12 | $0 (2023) |
| MiRus, LLC | $2,655 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $73,644 | 157 | Royal Biologics, Inc. ($39,825) |
| 2023 | $93,935 | 107 | Royal Biologics, Inc. ($51,321) |
| 2022 | $112,784 | 112 | Royal Biologics, Inc. ($76,029) |
| 2021 | $162,857 | 175 | Globus Medical, Inc. ($44,851) |
| 2020 | $109,887 | 78 | Globus Medical, Inc. ($34,547) |
| 2019 | $196,329 | 111 | Globus Medical, Inc. ($59,922) |
| 2018 | $133,430 | 73 | Stryker Corporation ($60,084) |
| 2017 | $99,770 | 92 | Stryker Corporation ($60,363) |
All Payment Transactions
905 individual payment records from CMS Open Payments — Page 1 of 37
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/27/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $42.23 | General |
| Category: ORTHOPEDIC | ||||||
| 12/18/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $147.24 | General |
| Category: ORTHOPEDIC | ||||||
| 12/18/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $31.88 | General |
| Category: ORTHOPEDIC | ||||||
| 12/18/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $28.87 | General |
| Category: ORTHOPEDIC | ||||||
| 12/11/2024 | Stryker Corporation | — | Travel and Lodging | Cash or cash equivalent | $526.39 | General |
| 12/11/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $50.29 | General |
| Category: ORTHOPEDIC | ||||||
| 12/09/2024 | Stryker Corporation | N/A (Device) | Food and Beverage | In-kind items and services | $65.10 | General |
| Category: NAVIGATION | ||||||
| 12/03/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $142.56 | General |
| Category: ORTHOPEDIC | ||||||
| 12/03/2024 | Curonix LLC | PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A (Device) | Food and Beverage | In-kind items and services | $24.39 | General |
| Category: PAIN MANAGEMENT | ||||||
| 11/26/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $61.55 | General |
| Category: ORTHOPEDIC | ||||||
| 11/21/2024 | SI-BONE, INC. | — | Food and Beverage | Cash or cash equivalent | $35.83 | General |
| 11/21/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $28.94 | General |
| Category: ORTHOPEDIC | ||||||
| 11/15/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $48.72 | General |
| Category: ORTHOPEDIC | ||||||
| 11/15/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $26.62 | General |
| Category: ORTHOPEDIC | ||||||
| 11/14/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $55.85 | General |
| Category: ORTHOPEDIC | ||||||
| 11/13/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $38.67 | General |
| Category: ORTHOPEDIC | ||||||
| 11/13/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $24.81 | General |
| Category: ORTHOPEDIC | ||||||
| 11/12/2024 | Medtronic, Inc. | O-ARM (Device) | Food and Beverage | In-kind items and services | $162.50 | General |
| Category: Image Guided Surgery Products | ||||||
| 11/08/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $47.31 | General |
| Category: ORTHOPEDIC | ||||||
| 11/05/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $47.19 | General |
| Category: ORTHOPEDIC | ||||||
| 10/31/2024 | Royal Biologics, Inc. | — | Royalty or License | Cash or cash equivalent | $11,987.02 | General |
| 10/31/2024 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $56.05 | General |
| Category: KNEES, HIPS | ||||||
| 10/30/2024 | Globus Medical, Inc. | ELSA (Device) | Royalty or License | Cash or cash equivalent | $779.18 | General |
| Category: Spine/Spine Surgery | ||||||
| 10/30/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $46.27 | General |
| Category: ORTHOPEDIC | ||||||
| 10/30/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $15.98 | General |
| Category: ORTHOPEDIC | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| Burst Biologics Spinal Fusion Registry | Smart-Surgical Inc. dba Burst Biologics | $105,500 | 4 |
| : Single Center Prospective Registry to Evaluate Use and Outcomes of Royal Biologics Products in Spinal Fusion Surgery | Royal Biologics, Inc. | $39,000 | 6 |
| Single Center Prospective Registry to Evaluate Use and Outcomes of Royal Biologics Products in Spinal | Royal Biologics, Inc. | $27,750 | 2 |
| Single Center Prospective Registry to Evaluate Use and Outcomes of Royal Biologics Products in Spinal Fusion Surgery | Royal Biologics, Inc. | $10,250 | 3 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 23 | 657 | 1,414 | $1.0M | $128,524 |
| 2022 | 28 | 1,073 | 2,632 | $1.4M | $198,978 |
| 2021 | 29 | 1,211 | 2,684 | $2.0M | $268,646 |
| 2020 | 29 | 1,248 | 2,781 | $1.7M | $230,208 |
All Medicare Procedures & Services
109 procedure records from CMS Medicare Utilization — Page 1 of 5
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2023 | 29 | 29 | $286,921 | $38,893 | 13.6% |
| 62323 | Injection of substance into lower spine canal using imaging guidance | Office | 2023 | 78 | 95 | $95,000 | $15,950 | 16.8% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2023 | 22 | 22 | $113,988 | $12,906 | 11.3% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 37 | 63 | $60,556 | $12,194 | 20.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 73 | 90 | $33,220 | $7,731 | 23.3% |
| 22634 | Fusion of additional segment of spine with partial removal of spine bone and disc | Facility | 2023 | 15 | 18 | $70,746 | $6,717 | 9.5% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2023 | 13 | 13 | $76,260 | $5,943 | 7.8% |
| 22614 | Fusion of additional segment of spine | Facility | 2023 | 11 | 22 | $31,840 | $4,753 | 14.9% |
| 72148 | Mri scan of lower spinal canal without contrast | Office | 2023 | 53 | 53 | $84,648 | $4,601 | 5.4% |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2023 | 24 | 24 | $22,550 | $4,573 | 20.3% |
| 72158 | Mri scan of lower spinal canal before and after contrast | Office | 2023 | 18 | 18 | $39,600 | $2,757 | 7.0% |
| 63053 | Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2023 | 12 | 15 | $10,910 | $2,645 | 24.2% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 14 | 14 | $11,060 | $1,829 | 16.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 24 | 29 | $6,470 | $1,641 | 25.4% |
| 20939 | Aspiration of bone marrow for spine bone graft | Facility | 2023 | 28 | 28 | $19,600 | $1,453 | 7.4% |
| 72141 | Mri scan of upper spinal canal without contrast | Office | 2023 | 18 | 18 | $28,223 | $1,365 | 4.8% |
| 72100 | X-ray of lower and sacral spine, 2-3 views | Office | 2023 | 27 | 33 | $9,340 | $847.23 | 9.1% |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | Office | 2023 | 19 | 20 | $6,376 | $722.73 | 11.3% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 78 | 745 | $6,705 | $621.73 | 9.3% |
| J1040 | Injection, methylprednisolone acetate, 80 mg | Office | 2023 | 15 | 16 | $948.00 | $144.49 | 15.2% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 16 | 16 | $256.00 | $134.40 | 52.5% |
| 82565 | Blood creatinine level | Office | 2023 | 16 | 16 | $560.00 | $80.32 | 14.3% |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | Office | 2023 | 17 | 17 | $68.00 | $20.98 | 30.9% |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2022 | 30 | 30 | $278,550 | $41,853 | 15.0% |
| 62323 | Injection of substance into lower spine canal using imaging guidance | Office | 2022 | 127 | 189 | $189,000 | $34,553 | 18.3% |
About Dr. Brad Prybis, MD
Dr. Brad Prybis, MD is a Orthopaedic Surgery of the Spine healthcare provider based in Roswell, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/25/2006. The National Provider Identifier (NPI) number assigned to this provider is 1245296391.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Brad Prybis, MD has received a total of $982,637 in payments from pharmaceutical and medical device companies, with $73,644 received in 2024. These payments were reported across 905 transactions from 38 companies. The most common payment nature is "Royalty or License" ($346,232).
As a Medicare-enrolled provider, Prybis has provided services to 4,189 Medicare beneficiaries, totaling 9,511 services with total Medicare billing of $826,356. Data is available for 4 years (2020–2023), covering 109 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery of the Spine
- Location Roswell, GA
- Active Since 04/25/2006
- Last Updated 12/08/2025
- Taxonomy Code 207XS0117X
- Entity Type Individual
- NPI Number 1245296391
Products in Payments
- XTEND (Device) $189,867
- SPINE TRUSS SYSTEM (Device) $109,798
- BioBurst Fluid (Biological) $102,000
- NAV - SPINEMAP 3D NAVIGATION SOFTWARE AND INSTRUMENTATION (Device) $33,755
- ARIA (Device) $24,353
- ES2 SPINAL SYSTEM (Device) $24,129
- PERLA C (Device) $20,294
- AIRO (Device) $20,278
- Nav - SpineMap 3D Navigation Software and Instrumentation (Device) $19,056
- ALTERA (Device) $18,350
- ELSA (Device) $14,979
- NAVIGATION (Device) $13,000
- AccuLIF (Device) $11,361
- NAV - NAV3 NAVIGATION PLATFORM (Device) $10,435
- Magnus $10,250
- TRITANIUM (Device) $10,219
- ES2 (Device) $9,303
- MARS 3VL (Device) $7,357
- CASCADIA (Device) $7,000
- EVEREST SPINAL SYSTEM (Device) $6,569
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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.