RxDoctor Payments Data

Ben Dubois, MD

Orthopaedic Surgery · la Mesa, CANPI 1790718997

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $1,926,132 of the $2,007,002 with a category attached, or 96.0%. Encore Medical, LP accounts for 98.8% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $390,749 and has fallen 68.1% since, to $124,654 in 2025. Among orthopaedic surgery clinicians in CA 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.

$2,007,002in general payments, 2019–2025

Across 167 payments — averaging $12,018 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Encore Medical, LP$2M
  • Shoulder Innovations, Inc.$23K
  • Stryker$824
  • Smith+Nephew$351
  • Elevate Surgical Co$148
  • Pfizer$113
  • plus $136 from 6 others

What the payments were for

  • Royalty or licence$1,926,13296%
  • Consulting fees$64,6253%
  • Travel & lodging$8,3920%
  • Food & beverage$7,8130%
  • Gifts$390%

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$2,007,002 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California

Medicare billing

Part B allowed, 2024
$269,065
Medicare patients
495
Services billed
2,887

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.

Other orthopaedic surgery in la Mesa

See the full list for California

Where these figures come from

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