Joseph Varcadipane, MD
Orthopaedic Surgery · Honolulu, HINPI 1619137973
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Smith+Nephew at 50.1% of the total. Reporting peaked in 2024 at $6,980 and has fallen 86.8% since, to $920 in 2025.
Across 67 payments — averaging $203.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$7K
- Medical Device Business Services, Inc.$2K
- Ortho Development Corporation$2K
- Johnson & Johnson$1K
- Zimmer Biomet$664
- Orthalign Inc$401
- plus $836 from 5 others
What the payments were for
- Consulting fees$1,80013%
- Travel & lodging$5,65941%
- Food & beverage$6,07545%
- Gifts$1141%
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 | 17 | $6,833 |
| Medical Device Business Services, Inc. | 2 | $1,950 |
| Ortho Development Corporation | 9 | $1,623 |
| Johnson & Johnson(2 entities) | 16 | $1,342 |
| Zimmer Biomet | 13 | $664 |
| Orthalign Inc | 4 | $401 |
| Engage Uni, LLC | 2 | $310 |
| Stryker | 1 | $165 |
| Medacta USA, Inc. | 1 | $158 |
| Biom'up SA | 1 | $144 |
| Osteocentric Technologies, Inc. | 1 | $60 |
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.
- ACTIS$2,066
- Trivicta$1,058
- BKS TriMax$786
- Velys$708
- Engage Partial Knee System$310
- NA$306
- Journey II BCS$286
- Kincise Surgical Automated System$271
- ATTUNE$228
- ORTHALIGN PLUS$207
- AMISTEM$158
- POLARSTEM$150
- Journey II$150
- JOINTPOINT$150
- Balanced Knee Revision System$148
- Balanced Knee System$148
- Avenir$147
- HEMOBLAST$144
- BKS Uni$142
- Ovation Tribute Hip Stem$142
How this compares
$13,648 in reported general payments places this provider in the 75th percentile of 83 orthopaedic surgery providers in Hawaii.
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 |
|---|---|---|
| Celecoxib | 24 | $775 |
| Gabapentin | 20 | $308 |
| Tramadol Hcl | 14 | $98 |
| Oxycodone Hcl | 19 | $94 |
| Amoxicillin | 12 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Honolulu
- Cass NakasoneHonolulu$957K
- Darin AwayaHonolulu$445K
- Christian KikuchiHonolulu$142K
- Paul MortonHonolulu$83K
- Gary OkamuraHonolulu$69K
- Andrew RichardsonHonolulu$55K
- Kyle MitsunagaHonolulu$52K
- Kanu OkikeHonolulu$47K
- Brian ManninoHonolulu$43K
- Morris MitsunagaHonolulu$32K
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.