Alexander Vap, MD
Orthopaedic Surgery · Richmond, VANPI 1992024392
Payments from drug & device makers
Across 123 payments — averaging $195.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vericel Corporation$12K
- Smith+Nephew$9K
- Arthrex$846
- Supreme Orthopedic Systems, LLC$675
- RTI Surgical, Inc$499
- Stryker$210
- plus $561 from 8 others
What the payments were for
- Consulting fees$6753%
- Speaking & faculty fees$13,70057%
- Travel & lodging$3,90416%
- Food & beverage$5,06221%
- Education$6603%
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 |
|---|---|---|
| Vericel Corporation | 13 | $12,175 |
| Smith+Nephew | 78 | $9,034 |
| Arthrex | 14 | $846 |
| Supreme Orthopedic Systems, LLC | 2 | $675 |
| RTI Surgical, Inc | 4 | $499 |
| Stryker | 2 | $210 |
| Fortis Surgical, LLC | 2 | $148 |
| Surgalign Spine Technologies, Inc. | 1 | $132 |
| Linvatec Corporation | 1 | $104 |
| Xiros Inc | 2 | $77 |
| Total Joint Orthopedics, Inc. | 1 | $46 |
| Medical Device Business Services, Inc. | 1 | $25 |
| Exactech, Inc. | 1 | $15 |
| ERMI LLC | 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.
- MACI$11,998
- SPATIAL FRAME$4,000
- Bone Anchors with Arthroscopic Delivery System$3,607
- Healicoil$1,000
- BIOCLEANSE ACHILLES TENDON$305
- Q-FIX$281
- Regeneten$222
- EVOS MINI$174
- EVOS$174
- TRIGEN InterTAN$174
- Bioinductive Implant with Arthroscopic Delivery System - Medium$172
- ULTRABUTTON$146
- Fast-Fix 360$146
- Accu-pass$145
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$138
- Acufex$137
- BIOCLEANSE MENISCUS$132
- CORTIVA ALLOGRAFT DERMIS$132
- FAST-FIX FLEX$131
- NOVOSTITCH$106
How this compares
$24,001 in reported general payments places this provider in the 80th percentile of 473 orthopaedic surgery providers in Virginia.
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 | 11 | $114 |
| Meloxicam | 16 | $26 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Richmond
- Colin MudrickRichmond$424K
- Jonathan IsaacsRichmond$343K
- Matthew WalkerRichmond$265K
- Michael WindRichmond$230K
- Ryan RobertsonRichmond$133K
- Anup GangavalliRichmond$127K
- Gregory GolladayRichmond$105K
- Norman BoardmanRichmond$91K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.5M
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.