Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $328,549 | 33 | 79.4% |
| Consulting Fee | $71,125 | 11 | 17.2% |
| Travel and Lodging | $11,572 | 49 | 2.8% |
| Food and Beverage | $2,461 | 59 | 0.6% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Alphatec Spine, Inc | $411,219 | 104 | $0 (2024) |
| Medtronic USA, Inc. | $987.42 | 19 | $0 (2020) |
| SI-BONE, Inc. | $578.89 | 4 | $0 (2018) |
| Baxter Healthcare | $157.75 | 6 | $0 (2023) |
| Nevro Corp. | $148.08 | 1 | $0 (2017) |
| Titan Spine, LLC | $127.40 | 1 | $0 (2017) |
| Elekta, Inc. | $109.19 | 1 | $0 (2017) |
| Boston Scientific Corporation | $64.24 | 1 | $0 (2018) |
| SEASPINE ORTHOPEDICS CORPORATION | $60.20 | 1 | $0 (2019) |
| Lilly USA, LLC | $45.01 | 3 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $114,135 | 8 | Alphatec Spine, Inc ($114,135) |
| 2023 | $102,490 | 23 | Alphatec Spine, Inc ($102,385) |
| 2022 | $68,120 | 9 | Alphatec Spine, Inc ($68,120) |
| 2021 | $55,207 | 10 | Alphatec Spine, Inc ($55,207) |
| 2020 | $25,774 | 14 | Alphatec Spine, Inc ($25,756) |
| 2019 | $27,869 | 34 | Alphatec Spine, Inc ($27,635) |
| 2018 | $18,896 | 35 | Alphatec Spine, Inc ($17,981) |
| 2017 | $1,216 | 19 | Medtronic USA, Inc. ($732.13) |
All Payment Transactions
152 individual payment records from CMS Open Payments — Page 1 of 7
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/20/2024 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $23,750.09 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 11/20/2024 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $4,858.96 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 08/28/2024 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $22,571.59 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 08/28/2024 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $5,076.67 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 05/21/2024 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $26,064.21 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 05/21/2024 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $4,867.47 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 02/27/2024 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $21,294.62 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 02/27/2024 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $5,651.43 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 12/18/2023 | ABBVIE INC. | SKYRIZI (Biological) | Food and Beverage | In-kind items and services | $20.84 | General |
| Category: IMMUNOLOGY | ||||||
| 11/16/2023 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $20,242.24 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 11/16/2023 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $5,038.89 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 08/24/2023 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $17,198.71 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 08/24/2023 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $5,129.41 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 07/13/2023 | Baxter Healthcare | FLOSEAL (Device) | Food and Beverage | In-kind items and services | $31.53 | General |
| Category: Surgical Care | ||||||
| 05/25/2023 | Alphatec Spine, Inc | Invictus OPEN (Device) | Royalty or License | Cash or cash equivalent | $16,976.52 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 05/25/2023 | Alphatec Spine, Inc | IdentiTi (Device) | Royalty or License | Cash or cash equivalent | $5,515.14 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 04/27/2023 | Alphatec Spine, Inc | Other - Miscellaneous (Device) | Consulting Fee | Cash or cash equivalent | $10,125.00 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 04/27/2023 | ABBVIE INC. | BOTOX (Biological) | Food and Beverage | In-kind items and services | $23.77 | General |
| Category: BOTOX THERAPEUTIC | ||||||
| 04/18/2023 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $28.77 | General |
| Category: CMF-Trauma | ||||||
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $18.00 | General |
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $16.97 | General |
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $15.49 | General |
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $12.73 | General |
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $10.44 | General |
| 04/06/2023 | Alphatec Spine, Inc | — | Food and Beverage | In-kind items and services | $10.31 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 169 | 207 | $55,421 | $9,445 |
| 2022 | 11 | 284 | 409 | $264,277 | $52,187 |
| 2021 | 14 | 314 | 436 | $427,946 | $82,430 |
| 2020 | 18 | 416 | 593 | $652,061 | $127,038 |
All Medicare Procedures & Services
51 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 40 | 40 | $20,840 | $3,554 | 17.1% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 37 | 37 | $14,245 | $2,214 | 15.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2023 | 39 | 60 | $8,400 | $1,286 | 15.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 25 | 30 | $4,200 | $1,057 | 25.2% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 17 | 24 | $3,576 | $824.09 | 23.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 11 | 16 | $4,160 | $510.26 | 12.3% |
| 22614 | Fusion of additional segment of spine | Facility | 2022 | 17 | 73 | $107,456 | $21,144 | 19.7% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2022 | 16 | 46 | $36,064 | $7,181 | 19.9% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2022 | 12 | 12 | $34,632 | $6,799 | 19.6% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 45 | 47 | $24,127 | $4,835 | 20.0% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 50 | 50 | $19,113 | $3,804 | 19.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 28 | 28 | $8,960 | $1,790 | 20.0% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 11 | 11 | $7,896 | $1,621 | 20.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 46 | 63 | $8,760 | $1,586 | 18.1% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 19 | 33 | $4,917 | $966.12 | 19.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 16 | 21 | $5,187 | $929.86 | 17.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 11 | 11 | $3,427 | $807.89 | 23.6% |
| 20939 | Aspiration of bone marrow for spine bone graft | Facility | 2022 | 13 | 14 | $3,738 | $724.65 | 19.4% |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | Facility | 2021 | 27 | 80 | $117,760 | $23,614 | 20.1% |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | Facility | 2021 | 21 | 21 | $60,606 | $12,088 | 19.9% |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | Facility | 2021 | 15 | 15 | $66,060 | $10,832 | 16.4% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | Facility | 2021 | 17 | 51 | $39,984 | $8,127 | 20.3% |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | Facility | 2021 | 12 | 12 | $53,064 | $5,852 | 11.0% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2021 | 12 | 26 | $27,040 | $5,070 | 18.8% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 25 | 25 | $12,525 | $3,874 | 30.9% |
About Melissa Macias, MD, PHD
Melissa Macias, MD, PHD is a Neurological Surgery healthcare provider based in Rockford, Illinois. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/03/2007. The National Provider Identifier (NPI) number assigned to this provider is 1710044383.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Melissa Macias, MD, PHD has received a total of $413,706 in payments from pharmaceutical and medical device companies, with $114,135 received in 2024. These payments were reported across 152 transactions from 20 companies. The most common payment nature is "Royalty or License" ($328,549).
As a Medicare-enrolled provider, Macias has provided services to 1,183 Medicare beneficiaries, totaling 1,645 services with total Medicare billing of $271,101. Data is available for 4 years (2020–2023), covering 51 distinct procedure/service records.
Practice Information
- Specialty Neurological Surgery
- Other Specialties Neurological Surgery
- Location Rockford, IL
- Active Since 01/03/2007
- Last Updated 01/08/2013
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1710044383
Products in Payments
- Invictus OPEN (Device) $203,172
- IdentiTi (Device) $129,380
- Other - Miscellaneous (Device) $46,833
- TLIF (Device) $8,500
- INVICTUS OPEN (Device) $7,250
- PLIF (Device) $4,000
- POROUS TITANIUM PLIF (Device) $1,872
- Cervical (Device) $1,609
- PLIF & TLIF (Device) $1,500
- Multiple Products (Device) $1,244
- LLIF (Device) $871.16
- OSTEOCOOL RF ABLATION (Device) $756.26
- iFuse Implant (Device) $578.89
- KYPHON Balloon Kyphoplasty (Device) $185.87
- Arsenal, LLIF (Device) $180.19
- Senza Spinal Cord Stimulation System (Device) $148.08
- TITAN ENDOSKELETON (Device) $127.40
- FLOSEAL (Biological) $126.22
- Vantage (Device) $109.19
- GENERAL PAIN MANAGEMENT (Device) $64.24
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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