Brad Picha, MD
Orthopaedic Surgery · Independence, OHNPI 1811020936
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,359 of the $6,432 with a category attached, or 83.3%. Arteriocyte Medical Systems, Inc. accounts for 74.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2020 at $4,873 and has fallen 99.5% since, to $26 in 2024.
Across 17 payments — averaging $378.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arteriocyte Medical Systems, Inc.$5K
- Globus Medical$1K
- 7d Surgical Inc.$69
- Zimmer Biomet$48
- Smith+Nephew$38
- Medtronic$31
- plus $26 from 1 others
Across 16 payments — averaging $769,336 each. An ownership or investment interest held by the physician or an immediate family member.
- Applied Medical Research, Inc$12.3M
- Applied Medical Technology Inc$13K
- American Medical Technology Inc$1K
What the payments were for
- Travel & lodging$1,07317%
- Food & beverage$5,35983%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Arteriocyte Medical Systems, Inc. | 1 | $4,804 |
| Globus Medical(2 entities) | 11 | $1,415 |
| 7d Surgical Inc. | 1 | $69 |
| Zimmer Biomet | 1 | $48 |
| Smith+Nephew | 1 | $38 |
| Medtronic | 1 | $31 |
| Providence Medical Technology, Inc. | 1 | $26 |
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.
- Excelsius - GPS$1,144
- Excelsius Robotics System$134
How this compares
$6,432 in reported general payments places this provider in the 60th percentile of 794 orthopaedic surgery providers in Ohio.
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 | 24 | $203 |
| Gabapentin | 19 | $157 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $105 |
| Tramadol Hcl | 18 | $48 |
| Diazepam | 17 | $8 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Independence
- Brian LawIndependence$64K
- Reuben GobezieCleveland$12M
- Gregory BerletWorthington$9.6M
- Wael BarsoumCleveland$8.9M
- Brian CohenChillicothe$8.8M
- Joseph IannottiCleveland$7.1M
- John SontichYoungstown$3.6M
- Anthony MiniaciCleveland$3.1M
- David WelkerMiamisburg$2.8M
- Kenneth GreeneCleveland$2.6M
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.