Device Spine

X-Pac

Payments companies reported to CMS as associated with X-Pac. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$428Kassociated payments (2023-2025)
339clinicians with associated payments
2companies reporting

By year

2023 $9,786
2024 $141K
2025 $277K

Payments reported as associated with X-Pac, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Orthopaedic Surgery of The Spine $203K
Neurological Surgery $134K
Orthopaedic Surgery $37K
Internal Medicine $37K
Transplant Surgery $9,000
Chiropractor $1,855

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with X-Pac

These are the largest totals companies reported as associated with X-Pac. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
Keneth Strenge Paducah, KY Orthopaedic Surgery of The Spine $37,481.50
Ankit Mehta Chicago, IL Internal Medicine $37,048.10
Frank Lamarca Ann Arbor, MI Neurological Surgery $28,405.60
Wilson Ray Saint Louis, MO Neurological Surgery $25,210.00
Charles Crawford Louisville, KY Orthopaedic Surgery of The Spine $19,054.40
Jeffery Gum Louisville, KY Orthopaedic Surgery of The Spine $17,997.50
Jamal Shillingford Larkspur, CA Orthopaedic Surgery of The Spine $15,998.06
Seth Williams Madison, WI Orthopaedic Surgery of The Spine $15,385.00
Nikhil Thakur North Andover, MA Orthopaedic Surgery of The Spine $15,318.00
Ian Dorward Provo, UT Neurological Surgery $15,120.50

Prescribed X-Pac?

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.