Ajay Lall
Orthopaedic Surgery · Paramus, NJNPI 1639451214
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $311,601 of the $415,043 with a category attached, or 75.1%. Arthrex accounts for 94.7% of it on its own, with 16 other manufacturers making up the rest. Among orthopaedic surgery clinicians in NJ with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 457 payments — averaging $908.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$393K
- Stryker$13K
- Medwest Associates$5K
- Smith+Nephew$2K
- Graymont Professional Products IP, LLC$750
- Medacta USA, Inc.$263
- plus $747 from 11 others
Across 22 payments — averaging $10,134 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Arthrex$213K
- Stryker$10K
What the payments were for
- Consulting fees$47,34811%
- Speaking & faculty fees$311,60175%
- Travel & lodging$37,6629%
- Food & beverage$10,5643%
- Education$7,8682%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 371 | $393,221 |
| Stryker | 42 | $12,675 |
| Medwest Associates | 9 | $5,098 |
| Smith+Nephew | 15 | $2,289 |
| Graymont Professional Products IP, LLC | 1 | $750 |
| Medacta USA, Inc. | 2 | $263 |
| Si-bone, Inc. | 5 | $212 |
| Linvatec Corporation | 2 | $155 |
| Medtronic | 1 | $131 |
| Zimmer Biomet | 2 | $105 |
| Intellijoint Surgical Inc. | 1 | $23 |
| Seapearl East, Inc | 1 | $23 |
| KCI USA, Inc. | 1 | $22 |
| Electronic Waveform Lab, Inc. | 1 | $22 |
| ERMI LLC | 1 | $21 |
| Johnson & Johnson | 1 | $17 |
| Paladin Technology Solutions | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MAKO$8,670
- NONE$2,632
- ACCOLADE$1,287
- ARTHREX$1,142
- TRIDENT$990
- ANATO$990
- Lake Effect Hip Brace$750
- Birmingham Hip Resurfacing$690
- R3$574
- Hipstruments$560
- KNEE & HIP INSTRUMENTS HIP DISPOSABLE$554
- POLARSTEM$549
- Q-FIX$451
- ACCUPASS DIRECT Crescent XL$451
- KNEE & HIP INSTRUMENTS HIP INSTRUMENTS$360
- Anthology$348
- Journey II BCS$226
- Oxinium Hips$201
- POLARCUP$201
- AMISTEM$140
How this compares
$415,043 in reported general payments places this provider in the 95th percentile of 587 orthopaedic surgery providers in New Jersey.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $62 |
| Meloxicam | 12 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Paramus
- Mark HartzbandParamus$9.4M
- Gregg KleinParamus$1.5M
- Michael AstParamus$1.3M
- Ari SeidensteinParamus$285K
- Eitan KohanParamus$73K
- Michael KellyHackensack$9.7M
- Randal BetzLawrenceville$3M
- Luke AustinSewell$2.9M
- Kenneth MontgomeryMorristown$2.7M
- Zachary PostEgg Harbor Township$1.7M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.