Alfonso Arevalo, DO
Orthopaedic Surgery · Wilmington, DENPI 1669912028
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.4%), education and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Smith+Nephew at 46.5% of the total. Reporting peaked in 2023 at $11,018 and has fallen 83.3% since, to $1,845 in 2025.
Across 118 payments — averaging $154.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$9K
- Stryker$3K
- Liberty Surgical Inc.$3K
- Arthrex$2K
- Eclipse Technology Solutions Inc.$1K
- Prodigy Surgical Distribution, Inc.$478
- plus $128 from 7 others
What the payments were for
- Travel & lodging$7,20439%
- Food & beverage$3,88121%
- Education$7,20039%
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 |
|---|---|---|
| Smith+Nephew | 27 | $8,506 |
| Stryker | 26 | $3,020 |
| Liberty Surgical Inc. | 3 | $2,521 |
| Arthrex | 36 | $2,214 |
| Eclipse Technology Solutions Inc. | 16 | $1,417 |
| Prodigy Surgical Distribution, Inc. | 3 | $478 |
| Inspire Medical Systems, Inc. | 1 | $24 |
| Radius Health, Inc. | 1 | $24 |
| Vericel Corporation | 1 | $19 |
| Fidia Pharma USA Inc. | 1 | $17 |
| Polynovo North America LLC | 1 | $16 |
| Boston Scientific | 1 | $14 |
| Solventum Corporation | 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.
- Healicoil$1,551
- Firstpass$1,316
- SALVATION$1,242
- FAST-FIX$991
- ACUFEX Meniscal Root Repair$991
- NOVOSTITCH$991
- INSPACE$891
- FORCE FIBER$453
- SPATIAL FRAME$279
- SERFAS ENERGY$166
- CONQUEST SERIES$134
- POLARSTEM$123
How this compares
$18,285 in reported general payments places this provider in the 75th percentile of 70 orthopaedic surgery providers in Delaware.
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 |
|---|---|---|
| Meloxicam | 22 | $98 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Wilmington
- Suken ShahWilmington$2.1M
- Patrick WardWilmington$68K
- Steven DelloseWilmington$52K
- James RubanoWilmington$39K
- Nicholas QuercettiWilmington$32K
- Michael PrincipeWilmington$29K
- David TainterWilmington$26K
- Akul PatelWilmington$21K
- Michael ShraderWilmington$14K
- Brian GalinatWilmington$13K
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.