Device Spine

B.A.C.S.

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

$1,122associated payments (2023-2025)
12clinicians with associated payments
1company reporting

By year

2025 $1,122

Payments reported as associated with B.A.C.S., per program year, as reported to CMS.

Who makes it

Specialties most often involved

Neurological Surgery $776
Orthopaedic Surgery of The Spine $201
Orthopaedic Surgery $145

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

Clinicians most associated with B.A.C.S.

These are the largest totals companies reported as associated with B.A.C.S.. 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)
Benjamin Fox Clearwater, FL Neurological Surgery $223.65
Ryan Snowden Nashville, TN Orthopaedic Surgery of The Spine $174.74
Joseph Kilianski Lewisville, TX Neurological Surgery $156.00
George Al Shamy Shenandoah, TX Neurological Surgery $122.03
Aaron Brooking Ft Lauderdale, FL Neurological Surgery $94.70
Paul Tortolani Towson, MD Orthopaedic Surgery $93.11
Christopher Neal Scarborough, ME Neurological Surgery $88.81
Andrew Alvarez Orlando, FL Orthopaedic Surgery $52.03
Christopher Mickler Clearwater, FL Neurological Surgery $48.53
Michael Hasz Reston, VA Orthopaedic Surgery of The Spine $26.09

Prescribed B.A.C.S.?

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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.