RxDoctor Payments Data

Geoffrey Marecek, MD

Orthopaedic Surgery · Los Angeles, CANPI 1114183472

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $401,133 of the $624,268 with a category attached, or 64.3%. 22 manufacturers reported payments, led by Zimmer Biomet at 34.7% of the total. Reporting peaked in 2023 at $197,024 and has fallen 64.8% since, to $69,379 in 2025. Among orthopaedic surgery clinicians in CA 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.

$624,268in general payments, 2019–2025

Across 623 payments — averaging $1002.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$216K
  • Globus Medical$161K
  • Orthofix Medical, Inc.$73K
  • Medical Device Business Services, Inc.$32K
  • Synthes GmbH$29K
  • Nuvasive Specialized Orthopedics, Inc.$29K
  • plus $83K from 16 others
$51,357in research payments, 2019–2025

Across 9 payments — averaging $5706.36 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.

  • BONE Support AB$35K
  • Orthofix Medical, Inc.$16K

What the payments were for

  • Royalty or licence$41,1987%
  • Consulting fees$401,13364%
  • Speaking & faculty fees$62,53410%
  • Travel & lodging$72,95612%
  • Food & beverage$13,4982%
  • Education$31,5255%
  • Ownership interest$1,4230%

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.

CompanyPaymentsTotal
Zimmer Biomet219$216,438
Globus Medical(2 entities)134$161,276
Orthofix Medical, Inc.66$73,126
Medical Device Business Services, Inc.40$31,951
Synthes GmbH34$29,469
Nuvasive Specialized Orthopedics, Inc.22$29,016
Siemens Medical Solutions USA, Inc.13$26,584
Restor3d, Inc.11$20,568
Stryker30$13,051
Bone Support Inc.10$8,516
Synthes USA Products LLC10$6,135
Smith+Nephew6$4,911
Orthoxel Designated Activity Company3$1,500
Johnson & Johnson12$724
Acumed LLC6$307
Integrum Inc.1$209
Si-bone, Inc.1$168
Micromed Inc1$142
AMDT Holdings, Inc.1$51
Curvafix, Inc.1$44
Illuminoss Medical, Inc.1$42
Dynasplint Systems Inc.1$40

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

$624,268 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California

Medicare billing

Part B allowed, 2024
$92,323
Medicare patients
148
Services billed
290

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 Los Angeles

See the full list for California

Where these figures come from

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