IndustryPayments
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

EFREM MICHAEL COX

Allopathic & Osteopathic Physicians Neurological Surgery

NPI
1841581527
CMS profile
1394823
Location
LAS VEGAS, NV

General Payments · PY2018–2024

$42,599.70

  • Reported across 346 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$4,539.37

82 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.

Related groups: Neurological Surgery NV All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,040.75 72
Travel and Lodging $1,413.06 9
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $85.56 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
PROVIDENCE MEDICAL TECHNOLOGY, INC. $2,112.64 20
DePuy Synthes Sales Inc. $1,157.38 46
icotec Medical Inc. $262.99 2
Integrity Implants Inc. $209.66 1
SI-BONE, INC. $204.35 3
Aesculap, Inc. $146.83 1
Globus Medical, Inc. $141.51 1
Arthrex, Inc. $131.92 1
BIOTRONIK NRO, Inc. $55.10 2
Goode Surgical Inc $38.40 1
Medtronic, Inc. $38.28 2
LivaNova USA, Inc. $25.46 1
Abbott Laboratories $14.85 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $290.04 6
PY2019 $1,685.53 9
PY2020 $4,851.71 52
PY2021 $9,709.42 96
PY2022 $17,957.03 58
PY2023 $3,566.60 43
PY2024 $4,539.37 82

Payment records · PY2024 (82)

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 $14.85 12/03/2024 Food and Beverage Undisputed 01/23/2026 1125300471 CMS
Aesculap, Inc. $146.83 08/14/2024 Food and Beverage Undisputed 01/23/2026 1154288098 CMS
Arthrex, Inc. $131.92 10/17/2024 Food and Beverage Undisputed 01/23/2026 1146570287 CMS
BIOTRONIK NRO, Inc. $21.77 06/08/2024 Food and Beverage Undisputed 01/23/2026 1153867891 CMS
BIOTRONIK NRO, Inc. $33.33 06/08/2024 Food and Beverage Undisputed 01/23/2026 1153867893 CMS
DePuy Synthes Sales Inc. $5.96 01/03/2024 Food and Beverage Undisputed 01/23/2026 1077875610 CMS
DePuy Synthes Sales Inc. $18.42 01/04/2024 Food and Beverage Undisputed 01/23/2026 1077875794 CMS
DePuy Synthes Sales Inc. $33.23 01/10/2024 Food and Beverage Undisputed 01/23/2026 1077875842 CMS
DePuy Synthes Sales Inc. $19.17 01/11/2024 Food and Beverage Undisputed 01/23/2026 1077875656 CMS
DePuy Synthes Sales Inc. $33.60 01/18/2024 Food and Beverage Undisputed 01/23/2026 1077875770 CMS
DePuy Synthes Sales Inc. $36.44 01/21/2024 Food and Beverage Undisputed 01/23/2026 1077876026 CMS
DePuy Synthes Sales Inc. $9.75 01/26/2024 Food and Beverage Undisputed 01/23/2026 1077875716 CMS
DePuy Synthes Sales Inc. $16.59 01/26/2024 Food and Beverage Undisputed 01/23/2026 1077875834 CMS
DePuy Synthes Sales Inc. $18.17 01/31/2024 Food and Beverage Undisputed 01/23/2026 1077876006 CMS
DePuy Synthes Sales Inc. $48.14 02/02/2024 Food and Beverage Undisputed 01/23/2026 1077875672 CMS
DePuy Synthes Sales Inc. $22.05 02/07/2024 Food and Beverage Undisputed 01/23/2026 1077875980 CMS
DePuy Synthes Sales Inc. $7.61 02/15/2024 Food and Beverage Undisputed 01/23/2026 1077875818 CMS
DePuy Synthes Sales Inc. $54.88 02/22/2024 Food and Beverage Undisputed 01/23/2026 1077875578 CMS
DePuy Synthes Sales Inc. $8.11 02/23/2024 Food and Beverage Undisputed 01/23/2026 1077875628 CMS
DePuy Synthes Sales Inc. $23.47 02/28/2024 Food and Beverage Undisputed 01/23/2026 1077875700 CMS
DePuy Synthes Sales Inc. $6.54 02/28/2024 Food and Beverage Undisputed 01/23/2026 1077875992 CMS
DePuy Synthes Sales Inc. $33.68 03/02/2024 Food and Beverage Undisputed 01/23/2026 1077876030 CMS
DePuy Synthes Sales Inc. $18.06 03/06/2024 Food and Beverage Undisputed 01/23/2026 1077875896 CMS
DePuy Synthes Sales Inc. $14.63 03/11/2024 Food and Beverage Undisputed 01/23/2026 1077875740 CMS
DePuy Synthes Sales Inc. $5.08 03/13/2024 Food and Beverage Undisputed 01/23/2026 1077875756 CMS
DePuy Synthes Sales Inc. $3.80 03/14/2024 Food and Beverage Undisputed 01/23/2026 1077875820 CMS
DePuy Synthes Sales Inc. $4.22 03/26/2024 Food and Beverage Undisputed 01/23/2026 1077875572 CMS
DePuy Synthes Sales Inc. $109.03 04/12/2024 Food and Beverage Undisputed 01/23/2026 1077875888 CMS
DePuy Synthes Sales Inc. $47.14 04/16/2024 Food and Beverage Undisputed 01/23/2026 1077875898 CMS
DePuy Synthes Sales Inc. $60.71 04/26/2024 Food and Beverage Undisputed 01/23/2026 1077876046 CMS
DePuy Synthes Sales Inc. $26.74 05/03/2024 Food and Beverage Undisputed 01/23/2026 1077875574 CMS
DePuy Synthes Sales Inc. $26.28 05/03/2024 Food and Beverage Undisputed 01/23/2026 1077875838 CMS
DePuy Synthes Sales Inc. $5.36 05/06/2024 Food and Beverage Undisputed 01/23/2026 1077876024 CMS
DePuy Synthes Sales Inc. $10.08 06/05/2024 Food and Beverage Undisputed 01/23/2026 1077875576 CMS
DePuy Synthes Sales Inc. $109.07 06/07/2024 Food and Beverage Undisputed 01/23/2026 1077875662 CMS
DePuy Synthes Sales Inc. $7.64 06/11/2024 Food and Beverage Undisputed 01/23/2026 1077876028 CMS
DePuy Synthes Sales Inc. $2.81 06/12/2024 Food and Beverage Undisputed 01/23/2026 1077875658 CMS
DePuy Synthes Sales Inc. $7.48 07/04/2024 Food and Beverage Undisputed 01/23/2026 1077875654 CMS
DePuy Synthes Sales Inc. $21.82 07/11/2024 Food and Beverage Undisputed 01/23/2026 1077875582 CMS
DePuy Synthes Sales Inc. $3.50 07/24/2024 Food and Beverage Undisputed 01/23/2026 1077875722 CMS
DePuy Synthes Sales Inc. $39.64 07/30/2024 Food and Beverage Undisputed 01/23/2026 1077875960 CMS
DePuy Synthes Sales Inc. $41.26 08/18/2024 Food and Beverage Undisputed 01/23/2026 1077875720 CMS
DePuy Synthes Sales Inc. $58.23 09/14/2024 Food and Beverage Undisputed 01/23/2026 1077875910 CMS
DePuy Synthes Sales Inc. $7.55 09/20/2024 Food and Beverage Undisputed 01/23/2026 1077875780 CMS
DePuy Synthes Sales Inc. $5.93 10/15/2024 Food and Beverage Undisputed 01/23/2026 1077875874 CMS
DePuy Synthes Sales Inc. $9.89 10/17/2024 Food and Beverage Undisputed 01/23/2026 1077875930 CMS
DePuy Synthes Sales Inc. $24.43 10/19/2024 Food and Beverage Undisputed 01/23/2026 1077875956 CMS
DePuy Synthes Sales Inc. $2.03 11/01/2024 Food and Beverage Undisputed 01/23/2026 1077876000 CMS
DePuy Synthes Sales Inc. $36.80 11/23/2024 Food and Beverage Undisputed 01/23/2026 1077875694 CMS
DePuy Synthes Sales Inc. $18.95 12/02/2024 Food and Beverage Undisputed 01/23/2026 1077875814 CMS
DePuy Synthes Sales Inc. $33.41 12/20/2024 Food and Beverage Undisputed 01/23/2026 1077875668 CMS
Globus Medical, Inc. $141.51 02/22/2024 Food and Beverage Undisputed 01/23/2026 1145037238 CMS
Goode Surgical Inc $38.40 11/13/2024 Food and Beverage Undisputed 01/23/2026 1126609895 CMS
icotec Medical Inc. $123.74 01/29/2024 Food and Beverage Undisputed 01/23/2026 1151422587 CMS
icotec Medical Inc. $139.25 05/16/2024 Food and Beverage Undisputed 01/23/2026 1151422589 CMS
Integrity Implants Inc. dba Accelus $209.66 02/22/2024 Food and Beverage Undisputed 01/23/2026 1151327881 CMS
LivaNova USA, Inc. $25.46 06/07/2024 Food and Beverage Undisputed 01/23/2026 1152789819 CMS
Medtronic, Inc. $13.51 04/17/2024 Food and Beverage Undisputed 01/23/2026 1119512817 CMS
Medtronic, Inc. $24.77 12/19/2024 Food and Beverage Undisputed 01/23/2026 1119512819 CMS
Providence Medical Technology, Inc. $24.38 02/08/2024 Food and Beverage Undisputed 01/23/2026 1089605209 CMS
Providence Medical Technology, Inc. $14.12 04/08/2024 Food and Beverage Undisputed 01/23/2026 1089605199 CMS
Providence Medical Technology, Inc. $13.34 09/09/2024 Food and Beverage Undisputed 01/23/2026 1089605197 CMS
Providence Medical Technology, Inc. $40.23 09/16/2024 Travel and Lodging Undisputed 01/23/2026 1089605215 CMS
Providence Medical Technology, Inc. $226.96 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1089605221 CMS
Providence Medical Technology, Inc. $40.00 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1089605211 CMS
Providence Medical Technology, Inc. $40.00 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1089605213 CMS
Providence Medical Technology, Inc. $16.00 10/08/2024 Food and Beverage Undisputed 01/23/2026 1089605201 CMS
Providence Medical Technology, Inc. $22.64 10/08/2024 Food and Beverage Undisputed 01/23/2026 1089605203 CMS
Providence Medical Technology, Inc. $9.80 10/19/2024 Food and Beverage Undisputed 01/23/2026 1089605193 CMS
Providence Medical Technology, Inc. $23.52 10/19/2024 Food and Beverage Undisputed 01/23/2026 1089605205 CMS
Providence Medical Technology, Inc. $235.29 10/19/2024 Food and Beverage Undisputed 01/23/2026 1089605223 CMS
Providence Medical Technology, Inc. $78.37 10/21/2024 Travel and Lodging Undisputed 01/23/2026 1089605217 CMS
Providence Medical Technology, Inc. $254.28 10/21/2024 Travel and Lodging Undisputed 01/23/2026 1089605227 CMS
Providence Medical Technology, Inc. $260.76 10/21/2024 Travel and Lodging Undisputed 01/23/2026 1089605229 CMS
Providence Medical Technology, Inc. $458.76 11/01/2024 Travel and Lodging Undisputed 01/23/2026 1089605231 CMS
Providence Medical Technology, Inc. $9.81 11/06/2024 Food and Beverage Undisputed 01/23/2026 1089605195 CMS
Providence Medical Technology, Inc. $23.52 11/06/2024 Food and Beverage Undisputed 01/23/2026 1089605207 CMS
Providence Medical Technology, Inc. $85.56 11/06/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089605219 CMS
Providence Medical Technology, Inc. $235.30 11/06/2024 Food and Beverage Undisputed 01/23/2026 1089605225 CMS
SI-BONE, INC. $157.65 11/01/2024 Food and Beverage Undisputed 01/23/2026 1120075540 CMS
SI-BONE, INC. $13.70 11/02/2024 Travel and Lodging Undisputed 01/23/2026 1120051133 CMS
SI-BONE, INC. $33.00 11/02/2024 Food and Beverage Undisputed 01/23/2026 1120069661 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.