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Cesar de Cesar Netto, MD

Orthopaedic Surgery · Iowa City, IANPI 1326494642

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $569,992 of the $692,986 with a category attached, or 82.3%. 22 manufacturers reported payments, led by Paragon 28, Inc. at 56.8% of the total. Among orthopaedic surgery clinicians in IA 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.

$692,986in general payments, 2019–2025

Across 407 payments — averaging $1702.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Paragon 28, Inc.$393K
  • Curvebeam LLC$102K
  • Arthrex$56K
  • Zimmer Biomet$33K
  • Extremity Medical$25K
  • Medartis Inc.$22K
  • plus $61K from 16 others
$163,821in research payments, 2019–2025

Across 24 payments — averaging $6825.88 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Paragon 28, Inc.$110K
  • Treace Medical Concepts, Inc.$54K
$51,475in ownership & investment interests, 2019–2025

Across 7 payments — averaging $7353.57 each. An ownership or investment interest held by the physician or an immediate family member.

  • Curvebeam LLC$51K

What the payments were for

  • Royalty or licence$8600%
  • Consulting fees$569,99282%
  • Speaking & faculty fees$26,7504%
  • Grants$9,3001%
  • Travel & lodging$68,92610%
  • Food & beverage$14,5182%
  • Education$2,4030%
  • Entertainment$2380%

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.

CompanyPaymentsTotal
Paragon 28, Inc.181$393,395
Curvebeam LLC6$102,150
Arthrex40$56,437
Zimmer Biomet71$33,403
Extremity Medical8$25,167
Medartis Inc.17$21,786
Stryker(2 entities)31$17,121
DJO, LLC1$9,300
International Life Sciences2$8,000
Nextremity Solutions Inc.1$7,630
Exactech, Inc.10$5,095
Ossio Inc3$3,151
Trimed, Inc.6$2,558
Ossio LTD1$2,500
Wardlow Enterprises3$2,403
Tricoast Surgical Solutions LLC16$1,882
Linvatec Corporation3$397
Smith+Nephew2$228
Conetic Solutions, Inc.2$153
Acera Surgical, Inc.1$129
Bioventus LLC1$86
Medline Industries LP1$15

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

$692,986 in reported general payments places this provider in the 95th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa →

Medicare billing

Part B allowed, 2024
$57,093
Medicare patients
127
Services billed
418

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 Iowa City

See the full list for Iowa →

Where these figures come from

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