4web, INC.
Reporting payments is a legal requirement; large totals often reflect large product portfolios.
$1.7Mgeneral payments (2019-2025)
$0.00research payments (2019-2025)
745clinicians paid
General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.
General payments by year
General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.
Products most associated with its payments
Specialties it works with most
Clinicians with the largest reported totals
Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.
| Clinician | Location | Specialty | General payments (2019-2025) |
|---|---|---|---|
| Brad Prybis | Stockbridge, GA | Orthopaedic Surgery of The Spine | $116,580.04 |
| Puya Alikhani | Tampa, FL | Neurological Surgery | $102,016.91 |
| Grigoriy Arutyunyan | Rochester, MN | Orthopaedic Surgery | $99,458.37 |
| Charles Gordon | Daphne, AL | Orthopaedic Surgery of The Spine | $99,412.92 |
| Rajesh Patel | Beckley, WV | Orthopaedic Surgery of The Spine | $77,591.92 |
| James Malcolm | Marietta, GA | Orthopaedic Surgery of The Spine | $75,385.29 |
| Steven Leckie | Plymouth, MA | Orthopaedic Surgery of The Spine | $63,984.89 |
| Joshua Herzog | North Chesterfield, VA | Orthopaedic Surgery | $60,403.30 |
| Fernando Villamil | San Juan, PR | Orthopaedic Surgery of The Spine | $49,685.81 |
| Daniel Williams | Pinehurst, NC | Orthopaedic Surgery of The Spine | $46,872.34 |
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.