Christian Kikuchi, MD
Orthopaedic Surgery · Honolulu, HINPI 1518285592
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (55.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by In2bones USA, LLC at 42.5% of the total. 2025 is the largest year on record at $45,093, 3.3 times the $13,597 reported in 2019. Among orthopaedic surgery clinicians in HI 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.
Across 98 payments — averaging $1447.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- In2bones USA, LLC$60K
- Linvatec Corporation$47K
- Smith+Nephew$34K
- Integra Lifesciences Corporation$234
- Restor3d, Inc.$143
- Sportstek Medical, Inc$124
- plus $207 from 3 others
What the payments were for
- Royalty or licence$78,19855%
- Consulting fees$31,70022%
- Speaking & faculty fees$9,6007%
- Travel & lodging$18,40713%
- Food & beverage$3,9193%
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 |
|---|---|---|
| In2bones USA, LLC | 29 | $60,284 |
| Linvatec Corporation | 22 | $47,276 |
| Smith+Nephew | 34 | $33,555 |
| Integra Lifesciences Corporation | 3 | $234 |
| Restor3d, Inc. | 3 | $143 |
| Sportstek Medical, Inc | 1 | $124 |
| Arthrex | 1 | $120 |
| Orthofix Medical, Inc. | 4 | $69 |
| Bioventus LLC | 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.
- CoLink$54,555
- COLINK AFX$23,908
- Q-FIX$23,531
- SPATIAL FRAME$17,510
- FAST-FIX$17,400
- COLINK PLATING SYSTEM$16,260
- COLINK CFX$10,617
- QUANTUM$6,304
- ACUFEX Meniscal Root Repair$6,016
- COLINK MFX$5,783
- Quantum Total Ankle$5,587
- 5MS$5,289
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$4,618
- Cadence$4,476
- FOOTPRINT$2,700
- Bone Anchors with Arthroscopic Delivery System$2,700
- CAP-FIX$2,122
- Healicoil$2,122
- NOVOSTITCH$2,122
- CoLag$289
How this compares
$141,823 in reported general payments places this provider in the 95th percentile of 83 orthopaedic surgery providers in Hawaii.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $152 |
| Oxycodone Hcl | 21 | $106 |
| Methylprednisolone | 14 | $98 |
| Promethazine Hcl | 12 | $68 |
| Gabapentin | 12 | $46 |
| Cephalexin | 19 | $45 |
| Tramadol Hcl | 11 | $29 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Honolulu
- Cass NakasoneHonolulu$957K
- Darin AwayaHonolulu$445K
- Paul MortonHonolulu$83K
- Gary OkamuraHonolulu$69K
- Andrew RichardsonHonolulu$55K
- Kyle MitsunagaHonolulu$52K
- Kanu OkikeHonolulu$47K
- Brian ManninoHonolulu$43K
- Morris MitsunagaHonolulu$32K
- Anthony BarciaHonolulu$27K
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.