RxDoctor Payments Data

John Diana, MD

Adult Reconstructive Orthopaedic Surgery · Napa, CANPI 1649297540

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $945,406 of the $981,059 with a category attached, or 96.4%. Ortho Development Corporation accounts for 98.5% of it on its own, with 8 other manufacturers making up the rest. Among adult reconstructive orthopaedic 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.

$981,059in general payments, 2019–2025

Across 160 payments — averaging $6131.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Ortho Development Corporation$967K
  • Stryker$11K
  • Zimmer Biomet$3K
  • Avanos Medical$478
  • Heron Therapeutics, Inc.$115
  • Medacta USA, Inc.$115
  • plus $188 from 3 others
$84,446in research payments, 2019–2025

Across 20 payments — averaging $4222.29 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.

  • Stryker$84K

What the payments were for

  • Royalty or licence$945,40696%
  • Consulting fees$5,8001%
  • Speaking & faculty fees$15,0002%
  • Travel & lodging$10,6751%
  • Food & beverage$4,1780%

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.

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

$981,059 in reported general payments places this provider in the 90th percentile of 136 adult reconstructive orthopaedic surgery providers in California.

See all adult reconstructive orthopaedic surgery providers in California

Medicare billing

Part B allowed, 2024
$665,546
Medicare patients
782
Services billed
2,776

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
Amoxicillin187$341
Oxycodone Hcl12$81
Clindamycin Hcl24$57
Tramadol Hcl24$54

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Napa

See the full list for California

Where these figures come from

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