Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

BRIAN HANDAL

Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

NPI
1144727835
CMS profile
5706034
Location
WEST DES MOINES, IA

General Payments · PY2018–2024

$30,150.96

  • Reported across 167 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$8,859.50

70 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $5,173.07 11
Food and Beverage $3,686.43 59

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Carlsmed, Inc. $4,028.01 14
Alphatec Spine, Inc $3,561.52 41
Cerapedics Inc. $371.76 6
Abbott Laboratories $263.45 2
PROVIDENCE MEDICAL TECHNOLOGY, INC. $213.89 2
DePuy Synthes Sales Inc. $149.97 1
SI-BONE, INC. $108.40 1
Sanara MedTech Inc. $94.87 1
Medtronic, Inc. $46.34 1
Globus Medical, Inc. $21.29 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $71.62 1
PY2019 $1,968.53 4
PY2020 $75.95 2
PY2021 $927.75 5
PY2022 $4,187.85 30
PY2023 $14,059.76 55
PY2024 $8,859.50 70

Payment records · PY2024 (70)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $141.83 10/11/2024 Food and Beverage Undisputed 01/23/2026 1124869498 CMS
Abbott Laboratories $121.62 10/11/2024 Food and Beverage Undisputed 01/23/2026 1124869500 CMS
Alphatec Spine, Inc $48.01 01/02/2024 Food and Beverage Undisputed 01/23/2026 1095490402 CMS
Alphatec Spine, Inc $53.09 01/02/2024 Food and Beverage Undisputed 01/23/2026 1095490404 CMS
Alphatec Spine, Inc $38.29 01/04/2024 Food and Beverage Undisputed 01/23/2026 1095490392 CMS
Alphatec Spine, Inc $66.20 01/10/2024 Food and Beverage Undisputed 01/23/2026 1095490386 CMS
Alphatec Spine, Inc $73.57 01/10/2024 Food and Beverage Undisputed 01/23/2026 1095490390 CMS
Alphatec Spine, Inc $25.95 01/12/2024 Food and Beverage Undisputed 01/23/2026 1095490366 CMS
Alphatec Spine, Inc $60.52 01/12/2024 Food and Beverage Undisputed 01/23/2026 1095490384 CMS
Alphatec Spine, Inc $20.84 01/12/2024 Food and Beverage Undisputed 01/23/2026 1095490388 CMS
Alphatec Spine, Inc $756.24 02/29/2024 Travel and Lodging Undisputed 01/23/2026 1095490338 CMS
Alphatec Spine, Inc $100.30 03/07/2024 Food and Beverage Undisputed 01/23/2026 1095490406 CMS
Alphatec Spine, Inc $47.10 03/07/2024 Food and Beverage Undisputed 01/23/2026 1095490410 CMS
Alphatec Spine, Inc $21.37 03/07/2024 Food and Beverage Undisputed 01/23/2026 1095490412 CMS
Alphatec Spine, Inc $50.08 03/07/2024 Food and Beverage Undisputed 01/23/2026 1095490414 CMS
Alphatec Spine, Inc $356.00 04/11/2024 Travel and Lodging Undisputed 01/23/2026 1095490318 CMS
Alphatec Spine, Inc $37.37 05/07/2024 Food and Beverage Undisputed 01/23/2026 1095490416 CMS
Alphatec Spine, Inc $30.16 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490368 CMS
Alphatec Spine, Inc $22.57 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490372 CMS
Alphatec Spine, Inc $59.95 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490374 CMS
Alphatec Spine, Inc $74.33 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490376 CMS
Alphatec Spine, Inc $89.58 06/06/2024 Travel and Lodging Undisputed 01/23/2026 1095490378 CMS
Alphatec Spine, Inc $15.31 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490382 CMS
Alphatec Spine, Inc $107.55 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490400 CMS
Alphatec Spine, Inc $34.88 06/06/2024 Food and Beverage Undisputed 01/23/2026 1095490408 CMS
Alphatec Spine, Inc $25.00 06/27/2024 Travel and Lodging Undisputed 01/23/2026 1095490340 CMS
Alphatec Spine, Inc $676.13 06/27/2024 Travel and Lodging Undisputed 01/23/2026 1095490342 CMS
Alphatec Spine, Inc $21.74 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095490456 CMS
Alphatec Spine, Inc $66.61 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095490458 CMS
Alphatec Spine, Inc $50.00 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095490460 CMS
Alphatec Spine, Inc $42.26 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095490462 CMS
Alphatec Spine, Inc $62.91 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095490464 CMS
Alphatec Spine, Inc $111.42 10/08/2024 Food and Beverage Undisputed 01/23/2026 1095490494 CMS
Alphatec Spine, Inc $16.15 10/08/2024 Food and Beverage Undisputed 01/23/2026 1095490498 CMS
Alphatec Spine, Inc $28.31 10/08/2024 Food and Beverage Undisputed 01/23/2026 1095490678 CMS
Alphatec Spine, Inc $14.96 10/08/2024 Food and Beverage Undisputed 01/23/2026 1095490680 CMS
Alphatec Spine, Inc $28.73 11/01/2024 Food and Beverage Undisputed 01/23/2026 1095490682 CMS
Alphatec Spine, Inc $25.74 11/01/2024 Food and Beverage Undisputed 01/23/2026 1095490686 CMS
Alphatec Spine, Inc $116.66 11/14/2024 Food and Beverage Undisputed 01/23/2026 1095490674 CMS
Alphatec Spine, Inc $16.47 12/06/2024 Food and Beverage Undisputed 01/23/2026 1095490676 CMS
Alphatec Spine, Inc $28.84 12/31/2024 Food and Beverage Undisputed 01/23/2026 1095490492 CMS
Alphatec Spine, Inc $19.80 12/31/2024 Food and Beverage Undisputed 01/23/2026 1095490684 CMS
Alphatec Spine, Inc $20.53 12/31/2024 Food and Beverage Undisputed 01/23/2026 1095490688 CMS
Carlsmed, Inc. $47.18 07/10/2024 Food and Beverage Undisputed 01/23/2026 1143597876 CMS
Carlsmed, Inc. $124.58 07/15/2024 Food and Beverage Undisputed 01/23/2026 1143597880 CMS
Carlsmed, Inc. $596.16 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1143597884 CMS
Carlsmed, Inc. $19.77 08/02/2024 Food and Beverage Undisputed 01/23/2026 1143597887 CMS
Carlsmed, Inc. $278.94 08/02/2024 Food and Beverage Undisputed 01/23/2026 1143597891 CMS
Carlsmed, Inc. $933.98 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1143597895 CMS
Carlsmed, Inc. $30.00 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1143597899 CMS
Carlsmed, Inc. $218.00 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1143597903 CMS
Carlsmed, Inc. $80.38 08/03/2024 Food and Beverage Undisputed 01/23/2026 1143597907 CMS
Carlsmed, Inc. $558.00 08/03/2024 Travel and Lodging Undisputed 01/23/2026 1143597911 CMS
Carlsmed, Inc. $933.98 08/03/2024 Travel and Lodging Undisputed 01/23/2026 1143597927 CMS
Carlsmed, Inc. $62.24 08/04/2024 Food and Beverage Undisputed 01/23/2026 1143597916 CMS
Carlsmed, Inc. $98.80 09/11/2024 Food and Beverage Undisputed 01/23/2026 1143597919 CMS
Carlsmed, Inc. $46.00 09/11/2024 Food and Beverage Undisputed 01/23/2026 1143597923 CMS
Cerapedics Inc. $13.63 01/19/2024 Food and Beverage Undisputed 01/23/2026 1133356786 CMS
Cerapedics Inc. $82.13 02/08/2024 Food and Beverage Undisputed 01/23/2026 1133356788 CMS
Cerapedics Inc. $35.50 02/10/2024 Food and Beverage Undisputed 01/23/2026 1133356790 CMS
Cerapedics Inc. $53.00 06/08/2024 Food and Beverage Undisputed 01/23/2026 1133356792 CMS
Cerapedics Inc. $149.76 06/12/2024 Food and Beverage Undisputed 01/23/2026 1133356794 CMS
Cerapedics Inc. $37.74 09/05/2024 Food and Beverage Undisputed 01/23/2026 1133356796 CMS
DePuy Synthes Sales Inc. $149.97 01/11/2024 Food and Beverage Undisputed 01/23/2026 1077834868 CMS
Globus Medical, Inc. $21.29 03/09/2024 Food and Beverage Undisputed 01/23/2026 1145025033 CMS
Medtronic, Inc. $46.34 09/13/2024 Food and Beverage Undisputed 01/23/2026 1117171091 CMS
Providence Medical Technology, Inc. $106.94 10/01/2024 Food and Beverage Undisputed 01/23/2026 1089607805 CMS
Providence Medical Technology, Inc. $106.95 11/06/2024 Food and Beverage Undisputed 01/23/2026 1089607807 CMS
Sanara MedTech Inc. $94.87 02/17/2024 Food and Beverage Undisputed 01/23/2026 1154901788 CMS
SI-BONE, INC. $108.40 04/25/2024 Food and Beverage Undisputed 01/23/2026 1120056342 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.