Justin Limtong
Adult Reconstructive Orthopaedic Surgery · Las Vegas, NVNPI 1780190264
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. Stryker accounts for 74.5% of it on its own, with 16 other manufacturers making up the rest.
Across 228 payments — averaging $97.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$17K
- Zimmer Biomet$2K
- Southern Edge Orthopaedics, Inc.$1K
- Goode Surgical Inc$754
- Smith+Nephew$380
- Medical Device Business Services, Inc.$350
- plus $1K from 11 others
What the payments were for
- Travel & lodging$8,48138%
- Food & beverage$12,01454%
- Education$1,7188%
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 |
|---|---|---|
| Stryker(2 entities) | 173 | $16,550 |
| Zimmer Biomet | 20 | $2,105 |
| Southern Edge Orthopaedics, Inc. | 2 | $1,019 |
| Goode Surgical Inc | 5 | $754 |
| Smith+Nephew | 5 | $380 |
| Medical Device Business Services, Inc. | 1 | $350 |
| Arthrex | 7 | $304 |
| Johnson & Johnson(2 entities) | 2 | $144 |
| Medtronic | 1 | $135 |
| Heron Therapeutics, Inc. | 2 | $128 |
| Orthofix Medical, Inc. | 2 | $128 |
| Applied Medical Resources Corporation | 1 | $64 |
| Acera Surgical, Inc. | 2 | $44 |
| Innovation Technologies Inc | 2 | $34 |
| AbbVie | 1 | $27 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| KCI USA, Inc. | 1 | $21 |
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.
- MAKO$9,518
- Persona$1,026
- AM$734
- Avenir$490
- AXSOS$423
- TRIATHLON$409
- ACCOLADE$294
- T2$265
- NA$250
- ROSA$185
- REGENETEN Shoulder$148
- PERCEPT PC BRAINSENSE$135
- TFN-Advance$125
- ORTHOLOC$120
- Zynrelef$115
How this compares
Too few adult reconstructive orthopaedic surgery providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Diclofenac Sodium | 74 | $687 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 46 | $575 |
| Omeprazole | 73 | $411 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $272 |
| Gabapentin | 30 | $264 |
| Meloxicam | 35 | $125 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $70 |
| Tramadol Hcl | 12 | $37 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Las Vegas
- Steven NishiyamaLas Vegas$836K
- Parminder KangLas Vegas$26K
- Michael WoodburyLas Vegas$11K
- Lawrence HuffLas Vegas$7K
- Drew ImanLas Vegas$4K
- Michael RiesReno$7.7M
- Chad WattsReno$78K
- Jackson JonesReno$37K
- Shay WarrenReno$23K
- Kingsley OladejiReno$21K
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.