RxDoctor Payments Data

Mark Fish, DO

Orthopaedic Surgery · Clive, IANPI 1548212368

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (36.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Maxx Orthopedics, Inc. at 43.7% of the total. Reporting peaked in 2020 at $8,622 and has fallen 93.8% since, to $538 in 2025. Among orthopaedic surgery clinicians in IA 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.

$25,322in general payments, 2019–2025

Across 131 payments — averaging $193.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Maxx Orthopedics, Inc.$11K
  • Wardlow Enterprises$4K
  • Zimmer Biomet$3K
  • Arthrex$2K
  • Smith+Nephew$2K
  • Medwest Associates$1K
  • plus $1K from 8 others
$1,750in research payments, 2019–2025

Across 1 payment — averaging $1750.00 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.

  • Maxx Orthopedics, Inc.$2K

What the payments were for

  • Consulting fees$9,12536%
  • Travel & lodging$2,67211%
  • Food & beverage$8,14832%
  • Education$5,37821%

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

$25,322 in reported general payments places this provider in the 90th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa

Medicare billing

Part B allowed, 2024
$271,572
Medicare patients
389
Services billed
2,081

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
Celecoxib100$1,381
Meloxicam143$347
Amoxicillin238$267
Diclofenac Sodium11$142
Clindamycin Hcl73$122
Methylprednisolone16$101

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Clive

See the full list for Iowa

Where these figures come from

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