RxDoctor Payments Data

Cyril Rebel, MD

Orthopaedic Surgery · Madera, CANPI 1952479180

Payments from drug & device makers

What this record shows

This record is dominated by education: $1,692 of the $1,897 with a category attached, or 89.2%. Sequoia Surgical, Inc. accounts for 89.2% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2021 at $1,200 and has fallen 98.5% since, to $18 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in CA, where the typical reported total is $2,444.

$1,897in general payments, 2019–2025

Across 6 payments — averaging $316.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sequoia Surgical, Inc.$2K
  • Medtronic$138
  • Smith+Nephew$50
  • Cornerstone Medical Associates, Inc.$18

What the payments were for

  • Food & beverage$20511%
  • Education$1,69289%

General payments by program year

19
20
21
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
Sequoia Surgical, Inc.2$1,692
Medtronic1$138
Smith+Nephew2$50
Cornerstone Medical Associates, Inc.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.

How this compares

$1,897 in reported general payments places this provider in the 45th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California →

Medicare billing

Part B allowed, 2024
$246,570
Medicare patients
332
Services billed
17,384

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

DrugClaimsCost to plans & patients
Celecoxib37$1,119
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen129$985
Meloxicam60$280
Gabapentin31$215
Diclofenac Sodium20$209
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen22$111
Tramadol Hcl17$32

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Madera

See the full list for California →

Where these figures come from

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