Gary Okamura, MD
Orthopaedic Surgery · Honolulu, HINPI 1366542383
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $48,620 of the $69,360 with a category attached, or 70.1%. 11 manufacturers reported payments, led by Zimmer Biomet at 46.6% of the total. Among orthopaedic surgery clinicians in HI 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 348 payments — averaging $199.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$32K
- Smith+Nephew$18K
- Arthrex$6K
- Medical Device Business Services, Inc.$5K
- Johnson & Johnson$4K
- Stryker$2K
- plus $2K from 5 others
What the payments were for
- Travel & lodging$48,62070%
- Food & beverage$13,80520%
- Education$3,3615%
- Other$3,5745%
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 |
|---|---|---|
| Zimmer Biomet | 100 | $32,296 |
| Smith+Nephew | 145 | $17,788 |
| Arthrex | 23 | $6,083 |
| Medical Device Business Services, Inc. | 19 | $5,388 |
| Johnson & Johnson(3 entities) | 16 | $4,473 |
| Stryker(2 entities) | 13 | $1,716 |
| Impactortho, Inc. | 5 | $1,019 |
| Bioventus LLC | 15 | $393 |
| Radius Health, Inc. | 6 | $126 |
| Team_makena_llc | 3 | $44 |
| Orthofix Medical, Inc. | 3 | $34 |
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.
- Persona Revision$8,422
- Persona$5,514
- Avenir$4,280
- Q-FIX$4,204
- Healicoil$3,819
- Arcos$3,592
- Comprehensive Shoulder System$3,006
- Q-FIX Hip$2,890
- Hipstruments$2,890
- The Pink Hip Kit - Smith & Nephew Table$2,661
- ACUFEX Meniscal Root Repair$2,598
- ACTIS$2,314
- ROSA-Knee$2,277
- INHANCE$2,059
- CAP-FIX$1,898
- NOVOSTITCH$1,898
- Bioinductive Implant with Arthroscopic Delivery System - Medium$1,498
- MAKO$1,380
- ACCUPASS DIRECT Crescent XL$1,087
- Oxford$1,063
How this compares
$69,360 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Pantoprazole Sodium | 24 | $230 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $220 |
| Meloxicam | 26 | $154 |
| Oxycodone Hcl | 15 | $75 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Honolulu
- Cass NakasoneHonolulu$957K
- Darin AwayaHonolulu$445K
- Christian KikuchiHonolulu$142K
- Paul MortonHonolulu$83K
- 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.