Total Payments
$25,088
2024 Payments
$1,241
Companies
53
Transactions
266
Medicare Patients
1,350
Medicare Billing
$261,047
Payment Breakdown by Category
Food & Beverage$13,796 (55.0%)
Consulting$6,600 (26.3%)
Other$3,393 (13.5%)
Travel$1,299 (5.2%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $13,796 | 249 | 55.0% |
| Consulting Fee | $6,600 | 5 | 26.3% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $3,346 | 2 | 13.3% |
| Travel and Lodging | $1,299 | 9 | 5.2% |
| Entertainment | $47.22 | 1 | 0.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| NuVasive, Inc. | $6,441 | 33 | $0 (2023) |
| Medtronic USA, Inc. | $5,782 | 28 | $0 (2020) |
| Abbott Laboratories | $3,295 | 52 | $0 (2024) |
| Spineology Inc. | $1,787 | 8 | $0 (2024) |
| MiRus, LLC | $1,525 | 3 | $0 (2022) |
| Medtronic, Inc. | $791.31 | 9 | $0 (2024) |
| SI-BONE, INC. | $656.08 | 21 | $0 (2024) |
| Stryker Corporation | $590.99 | 12 | $0 (2023) |
| Arteriocyte Medical Systems, Inc. | $586.46 | 3 | $0 (2024) |
| Boston Scientific Corporation | $431.38 | 10 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,241 | 19 | Nexxt Spine LLC ($193.08) |
| 2023 | $4,363 | 43 | Spineology Inc. ($1,572) |
| 2022 | $4,493 | 40 | MiRus, LLC ($1,525) |
| 2021 | $2,370 | 42 | Abbott Laboratories ($1,535) |
| 2020 | $3,634 | 20 | NuVasive, Inc. ($2,614) |
| 2019 | $2,320 | 37 | NuVasive, Inc. ($1,479) |
| 2018 | $1,196 | 24 | Medtronic USA, Inc. ($408.15) |
| 2017 | $5,471 | 41 | Medtronic USA, Inc. ($5,085) |
All Payment Transactions
266 individual payment records from CMS Open Payments — Page 1 of 11
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/15/2024 | Spinal Simplicity, LLC | HA MINUTEMAN G3-R (Device) | Food and Beverage | In-kind items and services | $34.97 | General |
| Category: SPINAL HARDWARE | ||||||
| 11/13/2024 | Carlsmed, Inc. | aprevo (Device) | Food and Beverage | Cash or cash equivalent | $24.76 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 11/11/2024 | DJO, LLC | CMF (Device) | Food and Beverage | In-kind items and services | $23.53 | General |
| Category: Osteogenesis Stimulators | ||||||
| 11/08/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $55.15 | General |
| 11/08/2024 | Abbott Laboratories | PROCLAIM (Device) | Food and Beverage | In-kind items and services | $13.25 | General |
| Category: Neuromodulation | ||||||
| 10/03/2024 | DJO, LLC | CMF (Device) | Food and Beverage | In-kind items and services | $78.34 | General |
| Category: Osteogenesis Stimulators | ||||||
| 09/23/2024 | Intrinsic Therapeutics | BARRICAID ACD (ANNULAR CLOSURE DEVICE) (Device), BARRICAID ACD (ANNULAR CLOSURE DEVICE) | Food and Beverage | Cash or cash equivalent | $131.50 | General |
| Category: Annular Closure Device | ||||||
| 08/29/2024 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $139.06 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 08/01/2024 | SI-BONE, INC. | — | Food and Beverage | Cash or cash equivalent | $23.54 | General |
| 06/24/2024 | DJO, LLC | CMF (Device) | Food and Beverage | In-kind items and services | $29.11 | General |
| Category: Osteogenesis Stimulators | ||||||
| 06/19/2024 | SI-BONE, INC. | — | Food and Beverage | Cash or cash equivalent | $16.59 | General |
| 06/19/2024 | Spineology Inc. | OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $13.73 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 06/18/2024 | Nexxt Spine LLC | Connexx Systems (Device), Struxxure Systems | Food and Beverage | Cash or cash equivalent | $29.75 | General |
| Category: Spinal Medical Device | ||||||
| 06/04/2024 | 4WEB, Inc. | SPINE TRUSS SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $145.67 | General |
| Category: ORTHOPEDIC | ||||||
| 05/16/2024 | Medtronic, Inc. | UNID_PASS (Device) | Food and Beverage | In-kind items and services | $38.47 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 04/23/2024 | Nexxt Spine LLC | Nexxt Matrixx Systems (Device) | Food and Beverage | Cash or cash equivalent | $163.33 | General |
| Category: Spinal Medical Device | ||||||
| 04/22/2024 | Sanara MedTech Inc. | CellerateRx (Device) | Food and Beverage | Cash or cash equivalent | $23.54 | General |
| Category: Collagen based wound filler | ||||||
| 02/29/2024 | Arteriocyte Medical Systems, Inc. | Magellan (Device) | Food and Beverage | Cash or cash equivalent | $87.70 | General |
| Category: Orthopedics | ||||||
| 02/07/2024 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $168.78 | General |
| Category: General - Pain Management_NMD | ||||||
| 12/27/2023 | NuVasive, Inc. | Pulse (Device) | Food and Beverage | In-kind items and services | $151.47 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/19/2023 | Spineology Inc. | OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $13.45 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 11/28/2023 | Medtronic, Inc. | KYPHON EXPRESS II KYPHOPAK TRAY (Device) | Food and Beverage | In-kind items and services | $158.38 | General |
| Category: Neuro Pain (includes Interventional) | ||||||
| 11/28/2023 | Medtronic, Inc. | OSTEOCOOL RF ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $117.54 | General |
| Category: Neuro Pain (includes Interventional) | ||||||
| 11/16/2023 | Arteriocyte Medical Systems, Inc. | Magellan (Device) | Food and Beverage | Cash or cash equivalent | $448.72 | General |
| Category: Orthopedics | ||||||
| 10/20/2023 | Abbott Laboratories | PROCLAIM (Device) | Food and Beverage | In-kind items and services | $3.97 | General |
| Category: Neuromodulation | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 17 | 434 | 705 | $1.1M | $72,323 |
| 2022 | 9 | 285 | 399 | $692,858 | $54,439 |
| 2021 | 10 | 297 | 417 | $502,671 | $57,693 |
| 2020 | 15 | 334 | 499 | $244,700 | $76,591 |
Total Patients
1,350
Total Services
2,020
Medicare Billing
$261,047
Procedure Codes
51
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 |
|---|---|---|---|---|---|---|---|---|
| 22614 | Fusion of additional segment of spine | Facility | 2023 | 13 | 44 | $125,688 | $10,513 | 8.4% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2023 | 16 | 16 | $110,259 | $9,679 | 8.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 73 | 98 | $174,247 | $8,915 | 5.1% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 20 | 40 | $87,982 | $7,664 | 8.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 67 | 114 | $176,915 | $7,234 | 4.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 39 | 39 | $78,977 | $4,645 | 5.9% |
| 61783 | Computer-assisted spinal procedure | Facility | 2023 | 25 | 25 | $52,351 | $4,601 | 8.8% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2023 | 11 | 24 | $45,647 | $4,000 | 8.8% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 28 | 30 | $65,039 | $3,868 | 5.9% |
| 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 | 11 | 18 | $31,426 | $3,264 | 10.4% |
| 20931 | Graft of donor bone to spine | Facility | 2023 | 27 | 30 | $29,940 | $2,628 | 8.8% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 15 | 15 | $18,158 | $1,535 | 8.5% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 13 | 24 | $15,319 | $1,493 | 9.7% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 15 | 15 | $25,093 | $1,005 | 4.0% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 13 | 13 | $12,899 | $850.33 | 6.6% |
| 76000 | Imaging guidance for procedure, 60 minutes or less | Facility | 2023 | 30 | 34 | $4,722 | $415.82 | 8.8% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2023 | 18 | 126 | $6,280 | $12.42 | 0.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 73 | 101 | $84,610 | $9,423 | 11.1% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2022 | 14 | 16 | $136,127 | $9,361 | 6.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 67 | 106 | $68,265 | $7,083 | 10.4% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 17 | 34 | $95,438 | $7,078 | 7.4% |
| 22614 | Fusion of additional segment of spine | Facility | 2022 | 12 | 24 | $96,019 | $7,033 | 7.3% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 44 | 45 | $57,742 | $5,188 | 9.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 23 | 27 | $36,823 | $3,739 | 10.2% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2022 | 11 | 22 | $94,857 | $3,574 | 3.8% |
About Dr. Robert Ayer, MD
Dr. Robert Ayer, MD is a Neurological Surgery healthcare provider based in Lawrenceville, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/17/2007. The National Provider Identifier (NPI) number assigned to this provider is 1891902714.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Robert Ayer, MD has received a total of $25,088 in payments from pharmaceutical and medical device companies, with $1,241 received in 2024. These payments were reported across 266 transactions from 53 companies. The most common payment nature is "Food and Beverage" ($13,796).
As a Medicare-enrolled provider, Ayer has provided services to 1,350 Medicare beneficiaries, totaling 2,020 services with total Medicare billing of $261,047. Data is available for 4 years (2020–2023), covering 51 distinct procedure/service records.
Ad
Practice Information
- Specialty Neurological Surgery
- Location Lawrenceville, GA
- Active Since 05/17/2007
- Last Updated 08/04/2021
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1891902714
Products in Payments
- CD HORIZON (Device) $3,960
- Pulse (Device) $3,150
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM (Device) $1,586
- Proclaim IPG (Device) $1,535
- EUROPA Pedicle Screw System (Device) $1,525
- ALIF (Device) $1,497
- PROCLAIM (Device) $1,309
- XLIF (Device) $962.90
- KYPHON Balloon Kyphoplasty (Device) $719.09
- Magellan (Device) $586.46
- RESTORE (Device) $435.43
- HA MINUTEMAN G3-R (Device) $411.21
- Proclaim Family of SCS IPGs (Device) $371.24
- iFuse Implant (Device) $363.71
- ADAPTIVESTIM (Device) $212.30
- Excelsius - GPS (Device) $203.08
- CMF (Device) $192.68
- VECTRIS (Device) $185.07
- PIVOX Oblique Lateral Spinal System (Device) $184.60
- Nexxt Matrixx Systems (Device) $163.33
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.
Neurological Surgery Doctors in Lawrenceville
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