Alexander Dees, PA
Surgical · Vero Beach, FLNPI 1598309403
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $17,014 of the $21,172 with a category attached, or 80.4%. Medical Device Business Services, Inc. accounts for 89.8% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $15,543, more than ten times the $1,006 reported in 2021. Among surgical clinicians in FL 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 119 payments — averaging $177.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$19K
- Stryker$1K
- Johnson & Johnson$396
- Medtronic$204
- Davol Inc.$122
- Orthofix Medical, Inc.$95
- plus $321 from 10 others
What the payments were for
- Travel & lodging$17,01480%
- Food & beverage$4,06119%
- Education$980%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 73 | $19,008 |
| Stryker | 9 | $1,026 |
| Johnson & Johnson(2 entities) | 12 | $396 |
| Medtronic | 4 | $204 |
| Davol Inc. | 1 | $122 |
| Orthofix Medical, Inc. | 5 | $95 |
| Bioventus LLC | 3 | $60 |
| Relievant Medsystems, Inc. | 2 | $45 |
| Cerapedics Inc. | 1 | $42 |
| Smith+Nephew | 2 | $39 |
| Pacira Pharmaceuticals Incorporated | 2 | $30 |
| Reel Surgical, Inc. | 1 | $26 |
| AbbVie | 1 | $25 |
| AstraZeneca | 1 | $25 |
| Solventum Corporation | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
- STRATAFIX$5,819
- VISTASEAL$3,935
- MONOVISC$1,693
- ORTHOVISC$1,693
- ETHICON$1,671
- EVARREST$1,151
- EVEREST SPINAL SYSTEM$553
- SURGICEL NU-KNIT$365
- XIA 3$269
- ClosureFast$140
- ARISTA$122
How this compares
$21,172 in reported general payments places this provider in the 95th percentile of 1,018 surgical providers in Florida.
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 |
|---|---|---|
| Methylprednisolone | 122 | $729 |
| Naproxen | 53 | $421 |
| Tramadol Hcl | 86 | $286 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $260 |
| Cyclobenzaprine Hcl | 32 | $199 |
| Meloxicam | 38 | $59 |
| Diazepam | 12 | $16 |
Paid to pharmacies, not to this prescriber.
Other surgical in Vero Beach
- Aaron SookhooBrandon$742K
- Jessica McCarrySt Petersburg$445K
- Harmony ChurchTallahassee$265K
- Pamela LiggettMiami$120K
- Stephanie CarrollPalm Beach Gardens$114K
- Christina NauglePalm Beach Gardens$96K
- Kathleen McMichaelClearwater$96K
- Michael SullivanSarasota$91K
- Dana ZeitlerNaples$73K
- William UlrichBoynton Beach$68K
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.