Breana Siljander
Orthopaedic Surgery · New York, NYNPI 1265965099
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,000 of the $19,441 with a category attached, or 61.7%. Smith+Nephew accounts for 63.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $11,287 and has fallen 97.4% since, to $289 in 2025.
Across 59 payments — averaging $329.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Stryker$4K
- Zimmer Biomet$982
- Orthalign Inc$572
- Johnson & Johnson$508
- Linkbio Corp$294
- plus $442 from 5 others
What the payments were for
- Grants$8995%
- Travel & lodging$1,7159%
- Food & beverage$4,82725%
- Education$12,00062%
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 | 5 | $12,382 |
| Stryker | 30 | $4,259 |
| Zimmer Biomet | 7 | $982 |
| Orthalign Inc | 4 | $572 |
| Johnson & Johnson | 4 | $508 |
| Linkbio Corp | 2 | $294 |
| Heraeus Medical, LLC. | 2 | $144 |
| Medical Device Business Services, Inc. | 2 | $126 |
| Si-bone, Inc. | 1 | $126 |
| Dynasplint Systems Inc. | 1 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
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.
- MAKO$1,357
- ORTHALIGN PLUS$572
- Persona$446
- ORTHOMAP$308
- REDAPT$266
- ROSA$194
- Avenir$185
- PRIME SERIES$168
- ATTUNE$138
- ACTIS$138
- REAL INTELLIGENCE$138
- Comprehensive Shoulder System$135
- Legion$128
- Legion Revision$128
- GAMMA$124
- T2 ALPHA$124
- Bone Anchors with Arthroscopic Delivery System$116
How this compares
$19,441 in reported general payments places this provider in the 75th percentile of 1,079 orthopaedic surgery providers in New York.
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 |
|---|---|---|
| Celecoxib | 23 | $753 |
| Oxycodone Hcl | 107 | $530 |
| Cefadroxil | 62 | $454 |
| Meloxicam | 160 | $426 |
| Pantoprazole Sodium | 83 | $406 |
| Ondansetron Hcl | 100 | $405 |
| Tramadol Hcl | 113 | $370 |
| Diclofenac Sodium | 11 | $313 |
| Mupirocin | 27 | $308 |
| Gabapentin | 15 | $201 |
| Amoxicillin | 32 | $27 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in New York
- Anthony RomeoNew York$26.8M
- Lawrence LenkeNew York$26.8M
- Edwin SuNew York$13.2M
- William RicciNew York$11.6M
- Steven HaasNew York$11.3M
- Giles ScuderiNew York$10.7M
- Joseph ZuckermanNew York$9.9M
- Evan FlatowNew York$9.6M
- Bradford ParsonsNew York$9.4M
- Geoffrey WestrichNew York$7.1M
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.