RxDoctor Payments Data

Kevin Howe, MD

Orthopedic Surgery · Santa Rosa, CANPI 1225124076

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.9% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Johnson & Johnson at 48.0% of the total. Reporting peaked in 2023 at $638 and has fallen 58.7% since, to $264 in 2025.

$1,862in general payments, 2019–2025

Across 29 payments — averaging $64.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$894
  • Orthalign Inc$485
  • Medical Device Business Services, Inc.$211
  • Evolution Surgical, Inc$86
  • Derma Sciences, Inc.$61
  • Avanos Medical$54
  • plus $70 from 3 others

What the payments were for

  • Travel & lodging$955%
  • Food & beverage$1,76795%

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

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.

CompanyPaymentsTotal
Johnson & Johnson(2 entities)12$894
Orthalign Inc3$485
Medical Device Business Services, Inc.6$211
Evolution Surgical, Inc1$86
Derma Sciences, Inc.2$61
Avanos Medical2$54
Smith+Nephew1$29
Vertex1$24
Zimmer Biomet1$17

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

$1,862 in reported general payments places this provider in the 65th percentile of 130 orthopedic surgery providers in California.

See all orthopedic surgery providers in California

Medicare billing

Part B allowed, 2024
$421,491
Medicare patients
711
Services billed
5,556

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
Cephalexin243$1,173
Celecoxib25$1,139
Oxycodone Hcl48$459
Meloxicam29$158
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen12$140
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim14$130
Amoxicillin39$89
Clindamycin Hcl19$57
Tramadol Hcl13$41

Paid to pharmacies, not to this prescriber.

Other orthopedic surgery in Santa Rosa

See the full list for California

Where these figures come from

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