Zodiac
Payments companies reported to CMS as associated with Zodiac. "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 Zodiac, 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 Zodiac
These are the largest totals companies reported as associated with Zodiac. 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) |
|---|---|---|---|
| Roger Jackson | North Kansas City, MO | Orthopaedic Surgery of The Spine | $8,946,975.19 |
| Michael Ramsey | Arlington, TX | Orthopaedic Surgery of The Spine | $4,057.90 |
| Harvey St Clair | Norfolk, VA | Pediatric Orthopaedic Surgery | $756.25 |
| Jeffrey Neustadt | St Petersburg, FL | Pediatric Orthopaedic Surgery | $280.11 |
Prescribed Zodiac?
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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.