RxDoctor Payments Data

Jaime Carvajal Alba, MD

Orthopaedic Surgery · Clermont, FLNPI 1902048655

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (50.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 97.3% of it on its own, with 17 other manufacturers making up the rest. 2025 is the largest year on record at $284,263, more than ten times the $871 reported in 2019. Among orthopaedic surgery clinicians in FL 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.

$760,271in general payments, 2019–2025

Across 624 payments — averaging $1218.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$740K
  • Restor3d, Inc.$17K
  • Stryker$1K
  • Medtronic$592
  • Johnson & Johnson$326
  • Zimmer Biomet$253
  • plus $555 from 12 others

What the payments were for

  • Consulting fees$248,54033%
  • Speaking & faculty fees$383,63550%
  • Travel & lodging$107,58214%
  • Food & beverage$20,5133%

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
Smith+Nephew569$739,850
Restor3d, Inc.16$17,472
Stryker11$1,224
Medtronic(2 entities)4$592
Johnson & Johnson(2 entities)6$326
Zimmer Biomet3$253
Innovation Technologies Inc1$151
Tracpatch Health, Inc1$91
Embody, Inc.1$83
Ferring Pharmaceuticals Inc.2$50
Abbott2$35
Pacira Pharmaceuticals Incorporated2$30
Mallinckrodt Hospital Products Inc.1$24
Guard Medical Inc.1$23
Convatec Inc.1$20
Heraeus Medical, LLC.1$18
Davol Inc.1$17
Heron Therapeutics, Inc.1$15

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

$760,271 in reported general payments places this provider in the 95th percentile of 1,263 orthopaedic surgery providers in Florida.

See all orthopaedic surgery providers in Florida

Medicare billing

Part B allowed, 2024
$102,114
Medicare patients
233
Services billed
604

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
Oxycodone Hcl63$464
Tramadol Hcl16$63
Meloxicam32$59

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Clermont

See the full list for Florida

Where these figures come from

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