RxDoctor Payments Data

David Miller, MD

Orthopaedic Surgery · North Chesterfield, VANPI 1093753345

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $1,254,050 of the $1,711,785 with a category attached, or 73.3%. Zimmer Biomet accounts for 99.2% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $472,854, 5.0 times the $94,687 reported in 2019. Among orthopaedic surgery clinicians in VA 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.

$1,711,785in general payments, 2019–2025

Across 720 payments — averaging $2377.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$1.7M
  • Encore Medical, LP$9K
  • Medtronic$3K
  • Insight Medical Systems, Inc.$260
  • Medacta USA, Inc.$209
  • Heraeus Medical, LLC.$174
  • plus $451 from 9 others
$103,633in research payments, 2019–2025

Across 19 payments — averaging $5454.37 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Zimmer Biomet$104K

What the payments were for

  • Royalty or licence$1,254,05073%
  • Consulting fees$394,31923%
  • Speaking & faculty fees$3,2500%
  • Travel & lodging$47,5913%
  • Food & beverage$12,4981%
  • Education$770%

General payments by program year

19
20
21
22
23
24
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.

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

$1,711,785 in reported general payments places this provider in the 95th percentile of 473 orthopaedic surgery providers in Virginia.

See all orthopaedic surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$407,554
Medicare patients
858
Services billed
8,523

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
Diclofenac Sodium101$1,187
Methylprednisolone178$1,053
Meloxicam272$614
Mupirocin67$447
Oxycodone Hcl21$128
Levofloxacin11$118
Amoxicillin135$104
Ibuprofen18$94
Tramadol Hcl27$85
Ciprofloxacin Hcl13$32
Cephalexin20$28

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in North Chesterfield

See the full list for Virginia

Where these figures come from

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