Joann Rapp, PA
Surgical · Pittsburgh, PANPI 1275534554
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 13.1% — the pattern of someone who eats at a lot of different presentations. Among surgical clinicians in PA 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 59 payments — averaging $96.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$744
- Si-bone, Inc.$543
- Bioventus LLC$348
- Stryker$326
- Otsuka Pharmaceutical Development & Commercialization, Inc.$299
- Zimvie Inc.$267
- plus $3K from 23 others
What the payments were for
- Food & beverage$5,676100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 7 | $744 |
| Si-bone, Inc. | 4 | $543 |
| Bioventus LLC | 4 | $348 |
| Stryker | 4 | $326 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 4 | $299 |
| Zimvie Inc. | 2 | $267 |
| Pacira Pharmaceuticals Incorporated | 2 | $233 |
| Neurelis, Inc. | 2 | $228 |
| Zimmer Biomet | 2 | $225 |
| Amgen | 2 | $220 |
| Medical Device Business Services, Inc. | 3 | $211 |
| Gilead | 2 | $191 |
| Inari Medical, Inc. | 1 | $184 |
| Johnson & Johnson(3 entities) | 3 | $173 |
| Baxter Healthcare | 2 | $143 |
| Next Science LLC | 1 | $141 |
| AbbVie | 1 | $125 |
| Heron Therapeutics, Inc. | 1 | $122 |
| Pfizer | 1 | $121 |
| Sanofi | 1 | $114 |
| Medtronic | 1 | $111 |
| Boston Scientific | 1 | $110 |
| Bsn Medical Inc | 1 | $99 |
| Edwards Lifesciences | 1 | $98 |
| Argenx US, Inc. | 1 | $97 |
| Hologic Sales And Service, LLC | 1 | $87 |
| Mid-atlantic Surgical Systems, LLC | 2 | $49 |
| Novo Nordisk | 1 | $38 |
| Hydrofera LLC | 1 | $28 |
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.
- iFuse Implant$268
- Biomet EBI Bone Healing System$267
- VALTOCO$228
- FLOWTRIEVER CATHETER, S$184
- CT THROMBECTOMY SYSTEM KIT$184
- PICO 7$149
- RENASYS GO v2 HOME$146
- INSPACE$141
- Xperience$141
- BlastX$141
- SurgX$141
- Durolane$137
- RENASYS TOUCH$131
- Erleada$125
- DALVANCE$125
- Zilretta$123
- Zynrelef$122
- HYMPAVZI$121
- AVSOLA$117
- Otezla$117
How this compares
$5,676 in reported general payments places this provider in the 95th percentile of 626 surgical providers in Pennsylvania.
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 |
|---|---|---|
| Ibuprofen | 15 | $62 |
| Ondansetron Hcl | 14 | $17 |
Paid to pharmacies, not to this prescriber.
Other surgical in Pittsburgh
- Aaron MacoskeyPittsburgh$40K
- Elissa CastorPittsburgh$25K
- Leah KovalPittsburgh$13K
- Marley ShovlinPittsburgh$7K
- William PostPittsburgh$7K
- Shannon MastersonPittsburgh$6K
- Ryan FlaniganPittsburgh$5K
- Robin ChimilePittsburgh$4K
- Katie ScollonPittsburgh$3K
- Margaret OberstPittsburgh$3K
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.