Gregory Rafijah, MD
Hand Surgery · Orange, CANPI 1740379809
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $33,050 of the $42,330 with a category attached, or 78.1%. Medartis Inc. accounts for 96.9% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $18,698 and has fallen 87.4% since, to $2,360 in 2025. Among hand surgery clinicians in CA 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 25 payments — averaging $1693.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$41K
- Axogen$481
- My01 Inc.$360
- Trimed, Inc.$241
- Johnson & Johnson$83
- Skeletal Dynamics Inc$83
- plus $60 from 2 others
Across 2 payments — averaging $5227.75 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.
- Axogen$10K
What the payments were for
- Consulting fees$33,05078%
- Speaking & faculty fees$7,30017%
- Travel & lodging$5621%
- Food & beverage$1,4183%
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 |
|---|---|---|
| Medartis Inc. | 10 | $41,023 |
| Axogen | 4 | $481 |
| My01 Inc. | 3 | $360 |
| Trimed, Inc. | 3 | $241 |
| Johnson & Johnson | 2 | $83 |
| Skeletal Dynamics Inc | 1 | $83 |
| Integra Lifesciences Corporation | 1 | $53 |
| Checkpoint Surgical, Inc | 1 | $7 |
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
$42,330 in reported general payments places this provider in the 90th percentile of 249 hand surgery providers in California.
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 |
|---|---|---|
| Diclofenac Sodium | 11 | $241 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Orange
- Ranjan GuptaOrange$210K
- Jesse KaplanOrange$30K
- David WrightOrange$14K
- Steven ShinLos Angeles$2.8M
- Amy LaddStanford$1.4M
- Emilie CheungStanford$1.1M
- Andrew HartmanOceanside$957K
- Nancy LynchSan Mateo$862K
- Jeffrey YaoRedwood City$622K
- Prosper BenhaimLos Angeles$492K
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.