Medicare Enrolled
Dr. Adam Spjute, MD
Pain Medicine · Waco, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Spjute 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. Spjute
Dr. Adam Spjute is a pain medicine specialist in Waco, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Spjute performed 4,723 Medicare services across 1,907 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spjute received a total of $15,236 from 22 pharmaceutical and/or device companies across 423 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Spjute is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 12 years in practice
▲ Top 13% volume in TX
$15,236 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,723
Medicare services
Top 13% in TX for pain medicine
1,907
Unique beneficiaries
$83
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~394 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 |
|---|---|---|---|
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
945 | $60 | $600 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
825 | $191 | $600 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
547 | $1 | $10 |
| 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. |
484 | $90 | $380 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
395 | $0 | $3 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
371 | $0 | $2 |
| Injection, fentanyl citrate, 0.1 mg | 194 | $1 | $2 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
175 | $3 | $17 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
121 | $224 | $750 |
| Contrast dye for imaging, lower concentration | 95 | $0 | $1 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
89 | $36 | $151 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
49 | $116 | $490 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
45 | $206 | $735 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
41 | $8 | $31 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
32 | $96 | $330 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
32 | $189 | $526 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
32 | $100 | $270 |
| 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. |
27 | $67 | $267 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
26 | $211 | $573 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
26 | $111 | $289 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
26 | $485 | $1,245 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
26 | $269 | $517 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
21 | $1,333 | $6,649 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
20 | $80 | $342 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
19 | $178 | $787 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 19 | $61 | $229 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
14 | $172 | $798 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
14 | $347 | $1,257 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
13 | $245 | $567 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$15,236
Total received (2018-2024)
Avg $2,177/year across 7 years
Top 17% in TX for pain medicine
22
Companies
423
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,236 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$5,394
2023
$2,620
2022
$3,091
2021
$1,434
2020
$199
2019
$647
2018
$1,851
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$10,132
Relievant Medsystems, Inc.
$1,397
BOSTON SCIENTIFIC CORPORATION
$1,036
Medtronic USA, Inc.
$700
Nevro Corp.
$552
AbbVie Inc.
$291
Boston Scientific Corporation
$270
Nalu Medical, Inc.
$222
ABBVIE INC.
$194
Amgen Inc.
$97
Medtronic, Inc.
$81
Teva Pharmaceuticals USA, Inc.
$52
Novartis Pharmaceuticals Corporation
$29
Biohaven Pharmaceuticals, Inc.
$28
PFIZER INC.
$26
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$25
BioDelivery Sciences International, Inc.
$24
Biohaven Pharmaceutical Holding Company Ltd.
$20
Stryker Corporation
$17
GRT US Holding, Inc.
$17
Collegium Pharmaceutical, Inc.
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$12
Top 3 companies account for 82.5% of total payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AXIUM · Aimovig · BELBUCA · EON C · EXCLAIM · FIXATE · GENERAL - PAIN MANAGEMENT · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LINEAR · LYRICA · NURTEC ODT · Nalu Neurostimulation System · OCTRODE · Octrode SCS Leads · PROCLAIM · PRODIGY · PROTG · Proclaim IPG · QULIPTA · Qutenza · RELISTOR · RESTORE · SPECTRA WAVEWRITER · SPINEJACK · SUPERION · SWIFT-LOCK · SYNCHROMEDII · Senza Spinal Cord Stimulation System · Superion · UBRELVY · VECTRIS · XTAMPZA
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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $323 per 100 Medicare services performed
Geographic Context
Pain medicines within 10 mi
3
Per 100K population
1.1
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
7.4 mi
7.4 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Spjute is a mixed practice specialist, with above-average Medicare volume (top 13% in TX), with low-engagement industry engagement in the top 17% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Spjute experienced with drug screening test?
Based on Medicare claims data, Dr. Spjute performed 945 drug screening test 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. Spjute receive payments from pharmaceutical companies?
Yes. Dr. Spjute received a total of $15,236 from 22 companies across 423 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. Spjute's costs compare to other pain medicines in Waco?
Dr. Spjute's average Medicare payment per service is $83. 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. Spjute) 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. The Transparency Score measures 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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