Clifford Tribus, MD
Orthopaedic Surgery · Madison, WINPI 1588628168
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,356,776 of the $1,441,697 with a category attached, or 94.1%. 12 manufacturers reported payments, led by Zimvie Inc. at 39.3% of the total. Reporting peaked in 2022 at $442,052 and has fallen 63.1% since, to $163,113 in 2025. Among orthopaedic surgery clinicians in WI 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 178 payments — averaging $8099.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimvie Inc.$567K
- Zimmer Biomet$310K
- Highridge Medical LLC$244K
- Spineology Inc.$196K
- Stryker$111K
- Medicrea USA, Corp.$9K
- plus $5K from 6 others
What the payments were for
- Royalty or licence$1,356,77694%
- Consulting fees$74,2505%
- Travel & lodging$6,9710%
- Food & beverage$3,6040%
- Education$960%
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 |
|---|---|---|
| Zimvie Inc. | 28 | $567,212 |
| Zimmer Biomet | 11 | $309,840 |
| Highridge Medical LLC | 11 | $243,734 |
| Spineology Inc. | 40 | $195,647 |
| Stryker | 46 | $111,252 |
| Medicrea USA, Corp. | 4 | $8,535 |
| Globus Medical | 22 | $4,165 |
| Carlsmed, Inc. | 3 | $512 |
| Medtronic | 7 | $511 |
| Medical Device Business Services, Inc. | 4 | $107 |
| Innovasis Inc | 1 | $96 |
| Integrity Implants Inc. | 1 | $86 |
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.
- Vitality$880,989
- Vital$239,237
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$98,533
- Rampart One Interbody Fusion System$74,334
- TRIO$42,868
- VBOSS$31,500
- VLIFT$31,500
- RAMPART ONE LUMBAR INTERBODY FUSION SYSTEM$22,781
- AERO$18,000
- ARIA$18,000
- XIA$18,000
- OASYS$18,000
- ES2$18,000
- MESA$15,999
- EVEREST$15,500
- SERRATO$15,500
- PASS-LP$8,535
- UNiD$8,535
- CREO$1,960
- CAPRI$1,617
How this compares
$1,441,697 in reported general payments places this provider in the 95th percentile of 498 orthopaedic surgery providers in Wisconsin.
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 orthopaedic surgery in Madison
- Richard IllgenMadison$6.1M
- Thomas ZdeblickMadison$1.1M
- Brian NickelMadison$211K
- Mitchell KuhlMadison$141K
- Kenneth NoonanMadison$100K
- Jeffrey HenstenburgMadison$61K
- Christopher DomesMadison$46K
- Sara GalliMadison$32K
- Andrew SheeanMadison$31K
- Robert ChurchillGrafton$7.7M
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.