Total Payments
$203,456
2024 Payments
$19,820
Companies
32
Transactions
113
Medicare Patients
1,943
Medicare Billing
$560,710
Payment Breakdown by Category
Consulting$153,996 (75.7%)
Royalty/License$38,042 (18.7%)
Travel$7,850 (3.9%)
Food & Beverage$3,348 (1.6%)
Other$200.00 (0.1%)
Education$20.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $153,996 | 35 | 75.7% |
| Royalty or License | $38,042 | 10 | 18.7% |
| Travel and Lodging | $7,850 | 7 | 3.9% |
| Food and Beverage | $3,348 | 59 | 1.6% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $200.00 | 1 | 0.1% |
| Education | $20.00 | 1 | 0.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| FloSpine LLC | $184,038 | 44 | $0 (2024) |
| Retropsoas Technologies, LLC | $11,495 | 5 | $0 (2022) |
| Integrity Implants Inc. | $4,805 | 8 | $0 (2020) |
| NuVasive, Inc. | $394.31 | 2 | $0 (2019) |
| Stryker Corporation | $377.27 | 6 | $0 (2022) |
| SI-BONE, Inc. | $240.66 | 6 | $0 (2022) |
| Orthofix Medical, Inc. | $208.30 | 2 | $0 (2022) |
| PARADIGM SPINE, LLC | $200.00 | 1 | $0 (2018) |
| DePuy Synthes Sales Inc. | $187.46 | 9 | $0 (2017) |
| Spineology Inc. | $159.95 | 3 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $19,820 | 12 | FloSpine LLC ($19,290) |
| 2023 | $45,753 | 14 | FloSpine LLC ($45,677) |
| 2022 | $55,804 | 23 | FloSpine LLC ($43,871) |
| 2021 | $36,443 | 11 | FloSpine LLC ($36,300) |
| 2020 | $42,454 | 11 | FloSpine LLC ($38,900) |
| 2019 | $2,157 | 12 | Integrity Implants Inc ($1,456) |
| 2018 | $539.00 | 8 | PARADIGM SPINE, LLC ($200.00) |
| 2017 | $485.38 | 22 | DePuy Synthes Sales Inc. ($187.46) |
All Payment Transactions
113 individual payment records from CMS Open Payments — Page 1 of 5
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/26/2024 | FloSpine LLC | Ti-Largo Cervical Cage System (Device) | Royalty or License | Cash or cash equivalent | $4,251.00 | General |
| Category: Spinal Implants | ||||||
| 10/21/2024 | Spineology Inc. | OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $103.85 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 09/05/2024 | FloSpine LLC | Ti-Largo Cervical Cage System (Device) | Royalty or License | Cash or cash equivalent | $932.25 | General |
| Category: Spinal Implants | ||||||
| 06/21/2024 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $5,623.52 | General |
| Category: Spinal Implants | ||||||
| 05/08/2024 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $4,433.50 | General |
| Category: Spinal Implants | ||||||
| 04/05/2024 | Integrity Implants Inc. dba Accelus | — | Food and Beverage | Cash or cash equivalent | $112.66 | General |
| 02/13/2024 | Cerapedics Inc. | I-FACTOR PEPTIDE ENHANCED BONE GRAFT (Device) | Food and Beverage | In-kind items and services | $23.05 | General |
| Category: PEPTIDE ENHANCED BONE GRAFT | ||||||
| 02/06/2024 | ZIMVIE INC. | SpF XL IIb Implantable Spinal Fusion Stimulator (Device) | Food and Beverage | In-kind items and services | $22.09 | General |
| Category: Bone Healing | ||||||
| 02/05/2024 | ZIMVIE INC. | SpF XL IIb Implantable Spinal Fusion Stimulator (Device) | Food and Beverage | In-kind items and services | $124.71 | General |
| Category: Bone Healing | ||||||
| 01/22/2024 | FloSpine LLC | Ti-Largo Cervical Cage System (Device) | Consulting Fee | Cash or cash equivalent | $4,050.00 | General |
| Category: Spinal Implants | ||||||
| 01/16/2024 | CSL Behring | Kcentra (Biological) | Education | In-kind items and services | $20.00 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 01/03/2024 | Merit Medical Systems Inc | StabiliT System (Device) | Food and Beverage | Cash or cash equivalent | $123.86 | General |
| Category: Surgery | ||||||
| 12/14/2023 | FloSpine LLC | Canaveral Deformity Pedicle Screw System (Device) | Consulting Fee | Cash or cash equivalent | $3,550.00 | General |
| Category: Spinal Implants | ||||||
| 11/16/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $4,232.74 | General |
| Category: Spinal Implants | ||||||
| 10/19/2023 | FloSpine LLC | Ti Largo Cervical Cage System (Device) | Consulting Fee | Cash or cash equivalent | $4,050.00 | General |
| Category: Spinal Implants | ||||||
| 10/19/2023 | FloSpine LLC | Ti Largo Cervical Plate System (Device) | Consulting Fee | Cash or cash equivalent | $3,875.00 | General |
| Category: Spinal Implants | ||||||
| 09/11/2023 | Spineology Inc. | OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $38.08 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 06/20/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $6,699.00 | General |
| Category: Spinal Implants | ||||||
| 06/12/2023 | Captiva Spine Inc | Transfasten (Device) | Food and Beverage | Cash or cash equivalent | $37.67 | General |
| Category: Spinal Implant | ||||||
| 06/02/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $3,381.12 | General |
| Category: Spinal Implants | ||||||
| 05/19/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $3,510.56 | General |
| Category: Spinal Implants | ||||||
| 04/12/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $1,876.48 | General |
| Category: Spinal Implants | ||||||
| 04/05/2023 | FloSpine LLC | Panama Anterior Cervical Plate System (Device) | Royalty or License | Cash or cash equivalent | $3,102.28 | General |
| Category: Spinal Implants | ||||||
| 03/30/2023 | FloSpine LLC | Ti Largo Cervical Cage System (Device) | Consulting Fee | Cash or cash equivalent | $3,150.00 | General |
| Category: Spinal Implants | ||||||
| 02/13/2023 | FloSpine LLC | Ti Largo Cervical Cage System (Device) | Consulting Fee | Cash or cash equivalent | $4,500.00 | General |
| Category: Spinal Implants | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 428 | 480 | $487,915 | $135,096 |
| 2022 | 13 | 528 | 608 | $555,112 | $181,896 |
| 2021 | 11 | 590 | 782 | $411,777 | $137,454 |
| 2020 | 11 | 397 | 437 | $330,903 | $106,264 |
Total Patients
1,943
Total Services
2,307
Medicare Billing
$560,710
Procedure Codes
47
All Medicare Procedures & Services
47 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | Facility | 2023 | 17 | 17 | $84,830 | $25,932 | 30.6% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 120 | 137 | $54,937 | $18,889 | 34.4% |
| 63267 | Removal of growth of lower spine bone outside spine membrane | Facility | 2023 | 17 | 17 | $66,147 | $18,618 | 28.1% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2023 | 28 | 28 | $88,388 | $18,297 | 20.7% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 88 | 88 | $50,424 | $15,277 | 30.3% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 22 | 39 | $30,498 | $9,062 | 29.7% |
| 22845 | Placement of stabilizing device to front, 2-3 spine bone segments | Facility | 2023 | 13 | 13 | $27,144 | $8,536 | 31.4% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2023 | 23 | 33 | $20,295 | $6,244 | 30.8% |
| 22514 | Treatment of broken lower spine bone with placement of stabilizing device | Facility | 2023 | 12 | 13 | $37,164 | $5,295 | 14.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 47 | 53 | $15,794 | $5,070 | 32.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 15 | 15 | $6,840 | $2,042 | 29.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 26 | 27 | $5,454 | $1,833 | 33.6% |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | Facility | 2022 | 27 | 27 | $127,998 | $42,234 | 33.0% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2022 | 31 | 32 | $94,144 | $27,030 | 28.7% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 121 | 140 | $52,876 | $20,443 | 38.7% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 93 | 93 | $49,471 | $16,730 | 33.8% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 36 | 70 | $51,702 | $16,661 | 32.2% |
| 22845 | Placement of stabilizing device to front, 2-3 spine bone segments | Facility | 2022 | 19 | 20 | $39,934 | $13,465 | 33.7% |
| 22552 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | Facility | 2022 | 21 | 30 | $32,967 | $10,988 | 33.3% |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | Facility | 2022 | 12 | 12 | $24,860 | $8,360 | 33.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 68 | 71 | $20,246 | $6,754 | 33.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 51 | 51 | $21,702 | $6,325 | 29.1% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2022 | 22 | 32 | $18,592 | $6,201 | 33.4% |
| 22513 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | Facility | 2022 | 11 | 12 | $17,208 | $5,354 | 31.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 16 | 18 | $3,412 | $1,350 | 39.6% |
About Dr. John Afshar, MD
Dr. John Afshar, MD is a Neurological Surgery healthcare provider based in West Palm Beach, Florida. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/09/2005. The National Provider Identifier (NPI) number assigned to this provider is 1245215409.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Afshar, MD has received a total of $203,456 in payments from pharmaceutical and medical device companies, with $19,820 received in 2024. These payments were reported across 113 transactions from 32 companies. The most common payment nature is "Consulting Fee" ($153,996).
As a Medicare-enrolled provider, Afshar has provided services to 1,943 Medicare beneficiaries, totaling 2,307 services with total Medicare billing of $560,710. Data is available for 4 years (2020–2023), covering 47 distinct procedure/service records.
Ad
Practice Information
- Specialty Neurological Surgery
- Location West Palm Beach, FL
- Active Since 12/09/2005
- Last Updated 01/10/2020
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1245215409
Products in Payments
- Panama Anterior Cervical Plate System (Device) $103,509
- Ti-Largo Cervical Cage System (Device) $24,683
- Ti Largo Cervical Cage System (Device) $17,700
- FOCUS (Device) $11,495
- Panama Anterior Cervical System (Device) $10,000
- KeyLift Intralaminar Expandable System (Device) $7,350
- Key Lift Intralaminar Expandable System (Device) $6,550
- Canaveral Deformity System (Device) $4,421
- Ti Largo Cervical Plate System (Device) $3,875
- Canaveral Deformity Pedicle Screw System (Device) $3,550
- All Systems (Device) $2,400
- FlareHawk (Device) $1,456
- TRITANIUM (Device) $306.27
- COHERE (Device) $250.19
- Spinal-Stim (Device) $208.30
- coflex (Device) $200.00
- iFuse Implant (Device) $182.78
- Zap-X (Device) $156.91
- SpF XL IIb Implantable Spinal Fusion Stimulator (Device) $146.80
- Pulse (Device) $144.12
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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