Kenneth Koval, MD
Orthopaedic Trauma · Orlando, FLNPI 1144256041
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (45.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Orthofix Medical, Inc. at 30.8% of the total. Reporting peaked in 2019 at $110,772 and has fallen 63.1% since, to $40,896 in 2025. Among orthopaedic trauma clinicians in FL 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.
Across 248 payments — averaging $1295.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$99K
- Zimmer Biomet$77K
- Acumed LLC$69K
- Medshape, Inc.$25K
- Globus Medical$19K
- Advanced Orthopaedic Solutions, Inc.$16K
- plus $16K from 14 others
Across 2 payments — averaging $3637.50 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.
- DJO, LLC$7K
What the payments were for
- Royalty or licence$146,12045%
- Consulting fees$110,47134%
- Speaking & faculty fees$8,7923%
- Travel & lodging$26,8188%
- Food & beverage$4,5781%
- Other$24,5928%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 46 | $99,109 |
| Zimmer Biomet | 64 | $77,308 |
| Acumed LLC | 69 | $68,825 |
| Medshape, Inc. | 2 | $25,092 |
| Globus Medical | 20 | $19,159 |
| Advanced Orthopaedic Solutions, Inc. | 25 | $16,282 |
| Arthrex | 6 | $8,952 |
| US Implant Solutions, LLC | 2 | $6,123 |
| Organogenesis Inc. | 1 | $148 |
| Johnson & Johnson | 2 | $106 |
| Smith+Nephew | 1 | $74 |
| Stryker | 1 | $34 |
| Polynovo North America LLC | 2 | $28 |
| DJO, LLC | 1 | $26 |
| Convatec Inc. | 1 | $25 |
| Bioventus LLC | 1 | $20 |
| AbbVie | 1 | $18 |
| Kls-martin L.p. | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $14 |
| Si-bone, Inc. | 1 | $12 |
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.
- CHIMAERA HIP FRACTURE SYSTEM$59,450
- Clavicle Plating System$23,820
- Polarus 3 Solution$23,778
- THP Implants$21,646
- Physio-Stim$16,430
- NCB Instruments/Plates/Screws$14,613
- Scapula Plating System$14,459
- AOS PRODUCTS$12,247
- Acutrak Headless Compression Screw System$11,509
- Bone Screws$10,767
- Acu-Loc Wrist Plating System$9,979
- Hand Fracture System$9,979
- CHIMAERA HIP FRACTURE SYSTEM - TROCANTERIC NAILING SYSTEM$9,648
- Affixus$7,454
- Ankle Plating System$7,375
- Small Frag Plating System$6,284
- Anthem$6,001
- CANNULATED SCREWS$4,375
- SMALL FRAGMENT$4,122
- FIBULA NAIL SYSTEM$3,864
How this compares
$321,370 in reported general payments places this provider in the 90th percentile of 65 orthopaedic trauma providers in Florida.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $146 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Orlando
- J Dean ColeOrlando$4.2M
- Vuong NguyenOrlando$1.4M
- Mohamed ShaathOrlando$303K
- Frank AviluceaOrlando$191K
- Barrett HawkinsOrlando$26K
- Jonathan YawmanOrlando$9K
- Edward PerezFt Lauderdale$981K
- Hassan MirTemple Terrace$877K
- Daniel SeginaMelbourne$330K
- Daniel DziadoszSt Petersburg$262K
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.