Reflect/Reflect Hde
Payments companies reported to CMS as associated with Reflect/Reflect Hde. "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 Reflect/Reflect Hde, 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 Reflect/Reflect Hde
These are the largest totals companies reported as associated with Reflect/Reflect Hde. 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) |
|---|---|---|---|
| Randal Betz | Lawrenceville, NJ | Orthopaedic Surgery | $108,315.64 |
| Suken Shah | Wilmington, DE | Orthopaedic Surgery | $86,769.63 |
| Shyam Kishan | Frisco, TX | Orthopaedic Surgery | $43,457.80 |
| Burt Yaszay | Seattle, WA | Orthopaedic Surgery | $43,384.82 |
| Paul Sponseller | Baltimore, MD | Orthopaedic Surgery | $43,384.82 |
| Juan Rodriguez | New York, NY | Orthopaedic Surgery of The Spine | $32,950.04 |
| Michael Glotzbecker | Cleveland, OH | Pediatric Orthopaedic Surgery | $14,700.00 |
| Annalise Larson | Rochester, MN | Orthopaedic Surgery | $11,342.12 |
| Virgilio Matheus | Orlando, FL | Neurological Surgery | $11,247.98 |
| Joshua Pahys | Philadelphia, PA | Orthopaedic Surgery of The Spine | $7,500.00 |
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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.