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Nevertheless, the recipient of the biggest single payment on the entire list was North Kansas City orthopedic surgeon Roger P. Jackson, M.D. In January 2015 he received a $30 million royalty payment from NuVasive, Inc., a California company that specializes in medical devices for spinal care. Jackson has earned tens of millions of dollars over the years as the holder of patents for a variety of surgical instruments and devices, including a surgery table named after him that was specially designed for orthopedic patients. Jackson earned nearly $38.4 million in payments last year, more than triple the $11.9 million he received in 2014 and 10 times the $3.83 million he received in 2013.