Cesar Roca, MD
Orthopaedic Surgery · Daphne, ALNPI 1275533549
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Prime Surgical, LLC at 40.9% of the total. 2025 is the largest year on record at $1,741, 6.2 times the $280 reported in 2019.
Across 76 payments — averaging $58.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Prime Surgical, LLC$2K
- Arthrex$852
- Smith+Nephew$558
- Bioventus LLC$227
- Zimmer Biomet$157
- Linvatec Corporation$126
- plus $703 from 13 others
What the payments were for
- Travel & lodging$90120%
- Food & beverage$2,34053%
- Education$1,20027%
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 |
|---|---|---|
| Prime Surgical, LLC | 4 | $1,819 |
| Arthrex | 11 | $852 |
| Smith+Nephew | 17 | $558 |
| Bioventus LLC | 7 | $227 |
| Zimmer Biomet | 10 | $157 |
| Linvatec Corporation | 2 | $126 |
| Pacira Pharmaceuticals Incorporated | 1 | $120 |
| DJO, LLC | 3 | $117 |
| Medacta USA, Inc. | 2 | $107 |
| Ferring Pharmaceuticals Inc. | 5 | $94 |
| Johnson & Johnson(2 entities) | 3 | $51 |
| Stryker | 1 | $50 |
| Pacira Therapeutics, Inc. | 2 | $32 |
| Amgen | 2 | $31 |
| Sanofi-aventis U.S. LLC | 2 | $29 |
| Abbott | 1 | $21 |
| Baxter Healthcare | 1 | $20 |
| Nalu Medical, Inc. | 1 | $16 |
| Spinal Simplicity, LLC | 1 | $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
$4,441 in reported general payments places this provider in the 60th percentile of 319 orthopaedic surgery providers in Alabama.
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 | 477 | $7,521 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 87 | $757 |
| Meloxicam | 251 | $730 |
| Methylprednisolone | 85 | $693 |
| Pregabalin | 40 | $554 |
| Promethazine Hcl | 54 | $281 |
| Doxycycline Hyclate | 26 | $259 |
| Tramadol Hcl | 55 | $190 |
| Ondansetron Hcl | 25 | $174 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $157 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Daphne
- Paul CanaleDaphne$609K
- Jeffrey DugasBirmingham$11.5M
- Benton EmblomBirmingham$3M
- Herrick SiegelBirmingham$1.2M
- Kenneth MooreBirmingham$342K
- Joseph SherrillBirmingham$221K
- Jonathan QuadeBirmingham$217K
- Lawrence LemakVestavia$216K
- Ginger BryantBirmingham$209K
- Marcus RothermichBirmingham$207K
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.