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.
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
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
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 |
|---|---|---|
| Maxx Orthopedics, Inc. | 26 | $11,073 |
| Wardlow Enterprises | 25 | $4,473 |
| Zimmer Biomet | 34 | $3,067 |
| Arthrex | 17 | $2,414 |
| Smith+Nephew | 12 | $1,780 |
| Medwest Associates | 2 | $1,212 |
| Stryker | 4 | $645 |
| Prism Medical | 2 | $302 |
| Exactech, Inc. | 1 | $103 |
| Maxx Health Inc | 1 | $83 |
| Kerecis Limited | 1 | $54 |
| Johnson & Johnson | 3 | $43 |
| Pacira Pharmaceuticals Incorporated | 1 | $43 |
| Heron Therapeutics, Inc. | 2 | $32 |
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.
- Freedom Total Knee System$5,399
- REGENETEN Shoulder$1,283
- LENS 4K$643
- Comprehensive Shoulder System$382
- MAKO$323
- ROSA-Knee$257
- Persona Revision$256
- ROSA$226
- TRIATHLON$174
- REUNION$164
- AEQUALIS ASCEND FLEX$159
- Oxford$143
- MICRORAPTOR Knotless Shoulder$142
- Tricera Handpiece$139
- Regeneten$137
- Persona$133
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS$125
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER MODULAR GLENOID SYSTEMS$125
- Ventix Anchor$119
- Gel One$114
How this compares
$25,322 in reported general payments places this provider in the 90th percentile of 219 orthopaedic surgery providers in Iowa.
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 | 100 | $1,381 |
| Meloxicam | 143 | $347 |
| Amoxicillin | 238 | $267 |
| Diclofenac Sodium | 11 | $142 |
| Clindamycin Hcl | 73 | $122 |
| Methylprednisolone | 16 | $101 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Clive
- Ross DoehrmannClive$29K
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
- Charles ClarkIowa City$50K
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.