James Learned, MD
Orthopaedic Trauma · Orange, CANPI 1720240781
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Synthes GmbH at 32.4% of the total. 2025 is the largest year on record at $41,390, 2.1 times the $19,548 reported in 2019.
Across 203 payments — averaging $824.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$54K
- Globus Medical$52K
- Stryker$34K
- Medical Device Business Services, Inc.$13K
- My01 Inc.$6K
- Smith+Nephew$5K
- plus $2K from 8 others
What the payments were for
- Consulting fees$77,91347%
- Speaking & faculty fees$54,00932%
- Travel & lodging$27,98117%
- Food & beverage$7,4504%
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 |
|---|---|---|
| Synthes GmbH | 58 | $54,188 |
| Globus Medical | 51 | $52,475 |
| Stryker | 41 | $34,236 |
| Medical Device Business Services, Inc. | 16 | $13,177 |
| My01 Inc. | 5 | $5,931 |
| Smith+Nephew | 8 | $5,489 |
| Zimmer Biomet | 10 | $838 |
| KCI USA, Inc. | 1 | $425 |
| Johnson & Johnson | 6 | $379 |
| Osteocentric Technologies, Inc. | 3 | $84 |
| Illuminoss Medical, Inc. | 1 | $39 |
| BD | 1 | $32 |
| Onkos Surgical, Inc. | 1 | $31 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $29 |
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.
- Autobahn$28,580
- GAMMA$23,118
- AXSOS$19,736
- PRO$14,161
- VARIAX$12,383
- T2 ALPHA$12,323
- T2$9,741
- EVO Antegrade$9,404
- HOFFMANN$7,446
- AUGMENT INJECTABLE$7,200
- NA$7,089
- Anthem$6,273
- MY01 Continuous Compartmental Pressure Monitor$5,862
- CANNULATED SCREWS$5,000
- IM NAILS$4,602
- PANGEA$3,908
- Distal Tibia Plating$1,900
- TROCH NAIL$1,900
- Joints$1,663
- Clavical Fixation (16-186)$1,214
How this compares
$167,352 in reported general payments places this provider in the 85th percentile of 106 orthopaedic trauma 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.
Other orthopaedic trauma in Orange
- John ScolaroOrange$1M
- Philip LimOrange$148K
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- David LowenbergSan Francisco$788K
- Eric LindvallClovis$609K
- Christopher LeeLos Angeles$475K
- Joshua GaryLos Angeles$466K
- Christopher HoshinoTorrance$356K
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.