Chad Aarons, MD
Pediatric Orthopaedic Surgery · Richmond, VANPI 1407067598
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (51.2%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by CTL Medical Corporation at 51.3% of the total. Reporting peaked in 2021 at $55,703 and has fallen 98.5% since, to $815 in 2025. Among pediatric orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 183 payments — averaging $1102.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CTL Medical Corporation$104K
- Medtronic$67K
- Spine Wave, Inc.$21K
- Orthofix Medical, Inc.$4K
- Orthopediatrics Corp.$3K
- Fortis Surgical, LLC$1K
- plus $2K from 7 others
What the payments were for
- Royalty or licence$103,24151%
- Consulting fees$25,80013%
- Speaking & faculty fees$53,19026%
- Travel & lodging$12,9696%
- Food & beverage$4,1932%
- Education$2,3851%
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 |
|---|---|---|
| CTL Medical Corporation | 24 | $103,562 |
| Medtronic(2 entities) | 96 | $66,522 |
| Spine Wave, Inc. | 28 | $21,263 |
| Orthofix Medical, Inc. | 20 | $4,465 |
| Orthopediatrics Corp. | 6 | $3,236 |
| Fortis Surgical, LLC | 2 | $1,223 |
| Supreme Orthopedic Systems, LLC | 1 | $1,185 |
| Alphatec Spine, Inc | 1 | $127 |
| Surgical Theater. Inc. | 1 | $85 |
| Zimmer Biomet | 1 | $46 |
| Globus Medical | 1 | $25 |
| Stryker | 1 | $19 |
| Baxter Healthcare | 1 | $18 |
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.
- Spinal$69,507
- MazorX - Renaissance$30,690
- Mazor X Stealth Edition$17,762
- SALVO SPINE SYSTEM$15,705
- MAZOR X SYSTEM$13,220
- FORZA PTC Spacer System$2,125
- FORZA PEEK Spacer System$2,125
- Firebird Spinal Fixation System$2,125
- CONSTRUX Mini PEEK Spacer System$1,275
- Phoenix CDX$1,275
- ProView MAP System$1,275
- PSO Instrument Set$1,275
- 3-Degrees Anterior Cervical Plating (ACP) System$1,275
- LONESTAR Cervical Stand Alone (CSA)$1,275
- SKYHAWK Lateral Interbody Fusion System$1,275
- SKYHAWK Lateral Interbody Fusion System & Lateral Plate System$850
- Firebird NXG Spinal Fixation System$850
- ASCENT;ASCENT LE;FIREBIRD SFS;ICON SFS;SFS$354
- StealthStation$133
- Other - Miscellaneous$127
How this compares
$201,778 in reported general payments places this provider in the 90th percentile of 20 pediatric orthopaedic surgery providers in Virginia.
See all pediatric orthopaedic surgery providers in Virginia →
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.
Other pediatric orthopaedic surgery in Richmond
- Hans TutenRichmond$276K
- Chester SharpsRichmond$80K
- Joanna HorstmannRichmond$2K
- Gregory HaleRichmond$323
- Laurel BlakemoreFairfax$140K
- Harvey St ClairNorfolk$72K
- Keith BachmannCharlottesville$44K
- Vanna RocchiPortsmouth$13K
- Carl St RemyNorfolk$11K
- Christopher JacksonNorfolk$7K
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.