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

RALPH SAUNDERS

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1518994441
CMS profile
377979
Location
SPARTA, TN

General Payments · PY2018–2024

$11,311.04

  • Reported across 64 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$463.11

5 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 $337.00 1
Food and Beverage $126.11 4

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Nevro Corp. $337.00 1
SMOKY MOUNTAIN SURGICAL LLC $97.74 3
Stryker Corporation $28.37 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,442.90 6
PY2019 $6,605.12 31
PY2022 $2,704.56 19
PY2023 $95.35 3
PY2024 $463.11 5

Payment records · PY2024 (5)

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

Program year 2024 2018201920222023 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
Nevro Corp. $337.00 10/18/2024 Travel and Lodging Undisputed 01/23/2026 1130764407 CMS
Smoky Mountain Surgical Llc $51.30 10/03/2024 Food and Beverage Undisputed 01/23/2026 1126612685 CMS
Smoky Mountain Surgical Llc $28.23 10/30/2024 Food and Beverage Undisputed 01/23/2026 1126612687 CMS
Smoky Mountain Surgical Llc $18.21 12/07/2024 Food and Beverage Undisputed 01/23/2026 1126612683 CMS
Stryker Corporation $28.37 02/05/2024 Food and Beverage Undisputed 01/23/2026 1119969267 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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