Total Payments
$543,297
2024 Payments
$301,024
Companies
48
Transactions
241
Medicare Patients
1,533
Medicare Billing
$256,854
Payment Breakdown by Category
Consulting$273,559 (50.4%)
Royalty/License$234,024 (43.1%)
Travel$15,951 (2.9%)
Food & Beverage$9,785 (1.8%)
Other$5,000 (0.9%)
Education$4,978 (0.9%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $273,559 | 32 | 50.4% |
| Royalty or License | $234,024 | 15 | 43.1% |
| Travel and Lodging | $15,951 | 12 | 2.9% |
| Food and Beverage | $9,785 | 180 | 1.8% |
| Charitable Contribution | $5,000 | 1 | 0.9% |
| Education | $4,978 | 1 | 0.9% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| L&K BIOMED CO. , LTD. | $221,480 | 3 | $0 (2024) |
| Aurora Spine, Inc. | $205,850 | 39 | $0 (2024) |
| L&K Spine Inc | $44,577 | 2 | $0 (2024) |
| Medyssey USA, Inc | $20,400 | 2 | $0 (2024) |
| RTI Surgical, Inc. | $11,654 | 5 | $0 (2019) |
| Quandary Medical LLC | $10,045 | 3 | $0 (2018) |
| Surgalign Spine Technologies, Inc. | $9,184 | 2 | $0 (2020) |
| SPINEART USA INC | $7,342 | 20 | $0 (2021) |
| Nevro Corp. | $6,453 | 16 | $0 (2024) |
| Abbott Laboratories | $931.56 | 18 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $301,024 | 15 | L&K BIOMED CO. , LTD. ($217,100) |
| 2023 | $44,111 | 24 | Aurora Spine, Inc. ($20,000) |
| 2022 | $39,444 | 20 | Aurora Spine, Inc. ($38,373) |
| 2021 | $4,445 | 21 | SPINEART USA INC ($2,935) |
| 2020 | $43,204 | 46 | Aurora Spine, Inc. ($30,059) |
| 2019 | $64,397 | 35 | Aurora Spine, Inc. ($50,657) |
| 2018 | $40,880 | 47 | Aurora Spine, Inc. ($34,138) |
| 2017 | $5,793 | 33 | Quandary Medical LLC ($4,978) |
All Payment Transactions
241 individual payment records from CMS Open Payments — Page 1 of 10
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/24/2024 | L&K BIOMED CO. , LTD. | — | Royalty or License | Cash or cash equivalent | $217,100.00 | General |
| 10/28/2024 | SPINAL ELEMENTS, INC. | Medical Devices (Device), Medical Devices | Food and Beverage | Cash or cash equivalent | $36.21 | General |
| Category: Orthopaedic Device Research | ||||||
| 09/18/2024 | Nevro Corp. | Senza (Device) | Food and Beverage | In-kind items and services | $125.47 | General |
| Category: Spinal Cord Stimulator | ||||||
| 08/14/2024 | Aurora Spine, Inc. | ZIP (Device) | Consulting Fee | Cash or cash equivalent | $10,000.00 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 06/26/2024 | Abbott Laboratories | LAMITRODE (Device) | Food and Beverage | In-kind items and services | $27.37 | General |
| Category: Neuromodulation | ||||||
| 06/17/2024 | Aurora Spine, Inc. | ZIP (Device) | Travel and Lodging | Cash or cash equivalent | $1,991.83 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 05/15/2024 | Aurora Spine, Inc. | ZIP (Device) | Consulting Fee | Cash or cash equivalent | $10,000.00 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 05/10/2024 | L&K Spine Inc | — | Consulting Fee | Cash or cash equivalent | $37,100.00 | General |
| 05/10/2024 | L&K Spine Inc | — | Travel and Lodging | Cash or cash equivalent | $7,476.90 | General |
| 04/25/2024 | Nevro Corp. | Senza (Device) | Food and Beverage | In-kind items and services | $139.65 | General |
| Category: Spinal Cord Stimulator | ||||||
| 04/15/2024 | Medyssey USA, Inc | — | Consulting Fee | Cash or cash equivalent | $6,750.00 | General |
| 02/26/2024 | Nevro Corp. | Senza (Device) | Food and Beverage | In-kind items and services | $101.05 | General |
| Category: Spinal Cord Stimulator | ||||||
| 02/15/2024 | Aurora Spine, Inc. | ZIP (Device) | Consulting Fee | Cash or cash equivalent | $10,000.00 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 02/08/2024 | Nevro Corp. | Senza (Device) | Food and Beverage | In-kind items and services | $134.55 | General |
| Category: Spinal Cord Stimulator | ||||||
| 02/08/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $40.48 | General |
| 11/27/2023 | Aurora Spine, Inc. | ZIP (Device) | Consulting Fee | Cash or cash equivalent | $10,000.00 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 11/07/2023 | L&K BIOMED CO. , LTD. | — | Travel and Lodging | Cash or cash equivalent | $2,940.45 | General |
| 09/30/2023 | L&K BIOMED CO. , LTD. | — | Travel and Lodging | Cash or cash equivalent | $1,439.62 | General |
| 09/08/2023 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $153.50 | General |
| Category: General - Pain Management_NMD | ||||||
| 07/19/2023 | Aziyo Biologics, Inc. | ECM Patch,Pouch (Device) | Food and Beverage | Cash or cash equivalent | $15.07 | General |
| Category: Cardiovascular Medical Device | ||||||
| 06/15/2023 | DePuy Synthes Sales Inc. | ORTHOVISC (Device) | Food and Beverage | In-kind items and services | $15.86 | General |
| Category: Sports Early Intervention | ||||||
| 06/13/2023 | Aurora Spine, Inc. | ZIP (Device) | Consulting Fee | Cash or cash equivalent | $10,000.00 | General |
| Category: ORTHOPAEDIC FIXATION SYSTEM | ||||||
| 05/07/2023 | Nevro Corp. | Senza (Device) | Travel and Lodging | In-kind items and services | $22.89 | General |
| Category: Spinal Cord Stimulator | ||||||
| 05/07/2023 | Nevro Corp. | Senza (Device) | Travel and Lodging | In-kind items and services | $4.22 | General |
| Category: Spinal Cord Stimulator | ||||||
| 05/06/2023 | Nevro Corp. | Senza (Device) | Education | In-kind items and services | $4,977.76 | General |
| Category: Spinal Cord Stimulator | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 460 | 813 | $266,706 | $84,507 |
| 2022 | 9 | 422 | 660 | $173,039 | $57,421 |
| 2021 | 11 | 416 | 664 | $261,851 | $92,261 |
| 2020 | 7 | 235 | 313 | $93,798 | $22,665 |
Total Patients
1,533
Total Services
2,450
Medicare Billing
$256,854
Procedure Codes
40
All Medicare Procedures & Services
40 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 113 | 288 | $93,125 | $35,908 | 38.6% |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | Facility | 2023 | 11 | 11 | $44,800 | $13,955 | 31.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 60 | 76 | $18,484 | $6,281 | 34.0% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 12 | 29 | $26,100 | $5,541 | 21.2% |
| 22552 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | Facility | 2023 | 11 | 17 | $11,050 | $4,984 | 45.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 38 | 38 | $12,214 | $4,432 | 36.3% |
| 72148 | Mri scan of lower spinal canal without contrast | Office | 2023 | 32 | 33 | $24,750 | $3,088 | 12.5% |
| 72100 | X-ray of lower and sacral spine, 2-3 views | Office | 2023 | 76 | 109 | $11,663 | $3,005 | 25.8% |
| 72040 | X-ray of upper spine, 2-3 views | Office | 2023 | 41 | 93 | $8,928 | $2,452 | 27.5% |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 20 | 50 | $2,500 | $1,783 | 71.3% |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 21 | 35 | $2,450 | $1,652 | 67.4% |
| 72141 | Mri scan of upper spinal canal without contrast | Office | 2023 | 11 | 11 | $8,250 | $877.33 | 10.6% |
| 72070 | X-ray of middle spine, 2 views | Office | 2023 | 14 | 23 | $2,392 | $547.13 | 22.9% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 106 | 216 | $61,360 | $28,482 | 46.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 63 | 88 | $18,259 | $8,249 | 45.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 50 | 50 | $16,042 | $5,578 | 34.8% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 11 | 23 | $20,700 | $4,539 | 21.9% |
| 72100 | X-ray of lower and sacral spine, 2-3 views | Office | 2022 | 82 | 108 | $11,556 | $3,103 | 26.9% |
| 72040 | X-ray of upper spine, 2-3 views | Office | 2022 | 48 | 107 | $10,272 | $3,062 | 29.8% |
| 72148 | Mri scan of lower spinal canal without contrast | Office | 2022 | 29 | 29 | $21,750 | $2,670 | 12.3% |
| 72141 | Mri scan of upper spinal canal without contrast | Office | 2022 | 14 | 14 | $10,500 | $1,183 | 11.3% |
| 72070 | X-ray of middle spine, 2 views | Office | 2022 | 19 | 25 | $2,600 | $554.51 | 21.3% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 104 | 264 | $73,920 | $36,898 | 49.9% |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, complex | Facility | 2021 | 19 | 19 | $77,600 | $24,572 | 31.7% |
| 22552 | Fusion of spine bones with removal of disc in upper spinal column below second vertebra of neck , anterior approach | Facility | 2021 | 16 | 22 | $14,430 | $6,791 | 47.1% |
About Dr. Gary Fleischer, MD
Dr. Gary Fleischer, MD is a Orthopaedic Surgery of the Spine healthcare provider based in Nashua, New Hampshire. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/11/2006. The National Provider Identifier (NPI) number assigned to this provider is 1689762841.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Gary Fleischer, MD has received a total of $543,297 in payments from pharmaceutical and medical device companies, with $301,024 received in 2024. These payments were reported across 241 transactions from 48 companies. The most common payment nature is "Consulting Fee" ($273,559).
As a Medicare-enrolled provider, Fleischer has provided services to 1,533 Medicare beneficiaries, totaling 2,450 services with total Medicare billing of $256,854. Data is available for 4 years (2020–2023), covering 40 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery of the Spine
- Location Nashua, NH
- Active Since 10/11/2006
- Last Updated 07/28/2014
- Taxonomy Code 207XS0117X
- Entity Type Individual
- NPI Number 1689762841
Products in Payments
- DISCOVERY/ECHO (Device) $114,854
- ZIP (Device) $88,659
- SlMMETRY (Device) $11,259
- Simmetry (Device) $9,135
- Senza (Device) $6,201
- PERLA TL (Device) $3,085
- JULIET TL Ti (Device) $2,585
- DISCOVERY TINANO ACIF (Device) $1,706
- AURORA SPINE (Device) $631.60
- Proclaim Family of SCS IPGs (Device) $473.42
- Proclaim IPG (Device) $349.51
- Allograft (Device) $331.66
- AVS (Device) $258.07
- Senza Spinal Cord Stimulation System (Device) $252.64
- General - Pain Management (Device) $225.46
- CD HORIZON (Device) $215.56
- iFuse Implant (Device) $207.82
- Zilretta (Drug) $192.29
- INTELLIS (Device) $176.97
- Mobi-C (Device) $171.82
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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.