Medicare Enrolled
Dr. Thomas Andreshak, MD
Orthopedic Surgery · Sylvania, OH
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Andreshak from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Andreshak
Dr. Thomas Andreshak is an orthopedic surgery specialist in Sylvania, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Andreshak performed 5,244 Medicare services across 980 unique beneficiaries.
Between the years covered by Open Payments, Dr. Andreshak received a total of $324,916 from 36 pharmaceutical and/or device companies across 606 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Andreshak is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 5% volume in OH
$324,916 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,244
Medicare services
Top 5% in OH for orthopedic surgery
980
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~276 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 3,900 | $18 | $25 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
517 | $61 | $130 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
145 | $27 | $102 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
111 | $89 | $224 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
81 | $78 | $178 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
65 | $10 | $45 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
52 | $195 | $585 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
48 | $27 | $94 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
48 | $32 | $140 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
28 | $394 | $6,878 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
23 | $644 | $4,013 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
22 | $25 | $100 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
21 | $38 | $130 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
20 | $348 | $6,839 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
19 | $164 | $786 |
| Spinal fusion and bone/disc removal, 1 disc A surgical procedure involving the fusion of lower spine bones and the partial removal of a spine bone or disc through the back. |
16 | $1,147 | $5,695 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
16 | $197 | $2,500 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
14 | $596 | $3,016 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
14 | $32 | $84 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
13 | $43 | $85 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
13 | $100 | $211 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
12 | $591 | $3,010 |
| Partial removal of spine bone with nerve release A surgical procedure involving the partial removal of spinal bone to release pressure on the lower spinal cord or nerves, and/or the removal of a spinal disc. |
12 | $799 | $4,505 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
12 | $134 | $295 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
11 | $1,330 | $3,808 |
| Fusion of spine in lower back | 11 | $1,198 | $5,612 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.0% high complexity
76.1% medium
21.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$324,916
Total received (2018-2024)
Avg $46,417/year across 7 years
Top 4% in OH for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
606
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$269,953 (83.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$48,656 (15.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,307 (1.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$47,854
2023
$54,633
2022
$38,240
2021
$39,417
2020
$31,973
2019
$53,333
2018
$59,465
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$46,984
Integra LifeSciences Corporation
$159
Intrinsic Therapeutics
$146
DePuy Synthes Sales Inc.
$145
Smith+Nephew, Inc.
$111
Providence Medical Technology, Inc.
$108
Alphatec Spine, Inc
$70
Orthofix Medical, Inc.
$22
Radius Health, Inc.
$21
Argentum Medical
$19
VERTEX PHARMACEUTICALS INCORPORATED
$17
Cerapedics Inc.
$17
Stryker Corporation
$17
Amgen Inc.
$17
Top 3 companies account for 98.8% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$171,360
Medtronic USA, Inc.
$132,282
RTI Surgical, Inc.
$5,610
Surgalign Spine Technologies, Inc.
$5,492
Kahtnu Surgical, Inc.
$3,977
Stryker Corporation
$1,823
Amgen Inc.
$794
Globus Medical, Inc.
$533
Smith+Nephew, Inc.
$487
DePuy Synthes Sales Inc.
$406
Intrinsic Therapeutics
$349
Augmedics Inc.
$163
Integra LifeSciences Corporation
$159
Bioventus LLC
$158
SI-BONE, Inc.
$157
Radius Health, Inc.
$128
MEDACTA USA, INC.
$125
Providence Medical Technology, Inc.
$108
Cerapedics Inc.
$108
ZIMVIE INC.
$103
Orthofix Medical, Inc.
$81
Alphatec Spine, Inc
$70
OrthoPediatrics Corp.
$64
Alvogen Inc
$62
Lifenet Health
$61
Zimmer Biomet Holdings, Inc.
$50
PFIZER INC.
$46
Davol Inc.
$27
BOSTON SCIENTIFIC CORPORATION
$24
Abbott Laboratories
$20
Argentum Medical
$19
VERTEX PHARMACEUTICALS INCORPORATED
$17
Lilly USA, LLC
$16
Merck Sharp & Dohme Corporation
$15
SANOFI-AVENTIS U.S. LLC
$14
FIDIA PHARMA USA INC.
$11
Top 3 companies account for 95.2% of all-time payments
Associated products mentioned in payments ›
10MM · ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · AQUAMANTYS(TM) · ATLANTIS · Allograft · Allograft VMIS Delivery System · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · BRIDION · Biomet Biologics · Bonescalpel · CD HORIZON · COFLEX · COFLEX INTERLAMINAR TECHNOLOGY · CREO · CREO Degen · Cervical-Stim · Coflex · DISTAL FEMUR PLATE · DIVERGENCE-L · Durolane · EVENITY · Excelsius Robotics System · ExcelsiusGPS Robotic Navigation System · FLECTOR · FORTEO · FiberCel · GAMMA · GENERAL PAIN MANAGEMENT · GMK SPHERE · GRAFTON · HOFFMANN · HYALGAN · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFINITY OCT System · INTELLIS ADAPTIVESTIM · IVS - AUTOPLEX SYSTEM · IVS - IVAS · IVS - MULTIGEN 2RF · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Integra · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LEGION · MAZOR X SYSTEM · MULTIGEN 2 · Mazor X Stealth Edition · MazorX - Renaissance · Mobi-C · NA · NSE - CUTTING ACCESSORIES · O-ARM-ST · O-ARM-Spine · OPTABLATE · OSTEOCOOL RF ABLATION · OSTEOCOOL RF ABLATION SYSTEM · Other - Miscellaneous · PASS LP · PIVOX Oblique Lateral Spinal System · PRESTIGE · PROCLAIM · PROGENIX · Pedi-Nail · Prolia · Q-FIX · REYVOW · SOVEREIGN · SPINEJACK · SYNVISC-ONE · SlMMETRY · Spinal-Stim · T2 STRATOSPHERE · TERIPARATIDE · TFN ADVANCED · TRIGEN INTERTAN · Tymlos · UNID_PASS · VIPER · VIVIGEN MIS DELIVERY SYSTEM · Xvision
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (83%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for orthopedic surgery in OH.
Geographic Context
Orthopedic surgeons within 10 mi
68
Per 100K population
15.9
County median income
$60,095
Nearest hospital
ASSURANCE HEALTH TOLEDO LLC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Andreshak is a mixed practice specialist, with above-average Medicare volume (top 5% in OH), with speaking/promotional industry engagement in the top 4% of OH peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Andreshak experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Andreshak performed 3,900 denosumab injection (prolia/xgeva) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Andreshak receive payments from pharmaceutical companies?
Yes. Dr. Andreshak received a total of $324,916 from 36 companies across 606 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Andreshak's costs compare to other orthopedic surgeons in Sylvania?
Dr. Andreshak's average Medicare payment per service is $48. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Andreshak) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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