Elsa
Payments companies reported to CMS as associated with Elsa. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Elsa, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Elsa
These are the largest totals companies reported as associated with Elsa. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Joseph Obrien | Bethesda, MD | Orthopaedic Surgery of The Spine | $89,655.64 |
| Larry Khoo | Los Angeles, CA | Neurological Surgery | $89,546.82 |
| Randall Dryer | Austin, TX | Orthopaedic Surgery of The Spine | $72,604.44 |
| Richard Hynes | Melbourne, FL | Orthopaedic Surgery | $44,648.14 |
| Roland Kent | Post Falls, ID | Orthopaedic Surgery of The Spine | $39,479.06 |
| John Thomas | Wilmington, NC | Neurological Surgery | $33,400.11 |
| Virgilio Matheus | Orlando, FL | Neurological Surgery | $31,188.24 |
| Timothy Bryan | Mt Pleasant, SC | Orthopaedic Surgery of The Spine | $24,355.83 |
| Christopher Holland | Concord, NC | Neurological Surgery | $20,094.63 |
| Rakesh Patel | Ann Arbor, MI | Orthopaedic Surgery | $19,145.02 |
Prescribed Elsa?
See what its makers reported for your doctor. Two steps, private, no account.
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.