Heinz Hoenecke, MD
Sports Medicine · la Jolla, CANPI 1548237936
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,298,321 of the $1,398,566 with a category attached, or 92.8%. Stryker accounts for 93.9% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2021 at $345,807 and has fallen 97.5% since, to $8,586 in 2025. Among sports medicine 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.
Across 221 payments — averaging $6328.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1.3M
- Smith+Nephew$84K
- Integra Lifesciences Corporation$1K
- Linvatec Corporation$171
- Zimmer Biomet$130
- Sportstek Medical, Inc$125
- plus $479 from 8 others
Across 7 payments — averaging $3254.29 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.
- Smith+Nephew$18K
- Stryker$5K
What the payments were for
- Royalty or licence$1,298,32193%
- Consulting fees$86,3756%
- Speaking & faculty fees$3,5000%
- Travel & lodging$5,8630%
- Food & beverage$4,5070%
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 |
|---|---|---|
| Stryker(2 entities) | 72 | $1,312,857 |
| Smith+Nephew | 116 | $83,758 |
| Integra Lifesciences Corporation | 19 | $1,048 |
| Linvatec Corporation | 1 | $171 |
| Zimmer Biomet | 2 | $130 |
| Sportstek Medical, Inc | 1 | $125 |
| BREG, Inc | 1 | $123 |
| Anika Therapeutics, Inc. | 1 | $89 |
| Exactech, Inc. | 1 | $75 |
| Ascension Orthopedics, Inc. | 2 | $75 |
| Johnson & Johnson | 2 | $41 |
| Elevate Surgical Co | 1 | $38 |
| Impactortho, Inc. | 1 | $25 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
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.
- AEQUALIS PERFORM$724,714
- AEQUALIS$579,725
- AETOS Shoulder System$24,462
- TWINFIX$11,862
- BLUEPRINT PSI SYSTEM$7,425
- REAL INTELLIGENCE$7,008
- SIMPLICITI$2,700
- EVOS$2,240
- Cadence$2,000
- TRIGEN InterTAN$2,000
- SPATIAL FRAME$2,000
- TITAN-SHOULDER$1,625
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$546
- CADENCE ANKLE REPLACEMENT SYSTEM$546
- Shoulder Holder/Shoulder Suspension Kit$262
- External Fixation System$184
- FREEDOM WRIST$184
- BioBrace 23mm$171
- AEQUALIS PERFORM REVERSED$164
- INSPACE$146
How this compares
$1,398,566 in reported general payments places this provider in the 95th percentile of 662 sports medicine 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 |
|---|---|---|
| Doxycycline Hyclate | 57 | $429 |
| Cephalexin | 25 | $100 |
| Mupirocin | 14 | $90 |
| Amoxicillin | 33 | $67 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in la Jolla
- Brian Rebolledola Jolla$175K
- Neal ElattracheLos Angeles$51M
- Nathaniel CohenLos Gatos$6.4M
- Thomas KnappSanta Monica$2.5M
- Michael FreehillStanford$1.6M
- Allan MishraMenlo Park$1.5M
- Seth ShermanStanford$1.1M
- Stephan YacoubianBurbank$1M
- Stephen Snydervan Nuys$922K
- Deryk JonesSan Carlos$915K
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.