Mark Ryzewicz, MD
Orthopaedic Surgery · Cody, WYNPI 1225184997
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Shalby Advanced Technologies, Inc. at 34.3% of the total. Among orthopaedic surgery clinicians in WY 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 108 payments — averaging $131.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shalby Advanced Technologies, Inc.$5K
- Microport Orthopedics Inc$3K
- Arthrex$3K
- Gemini Mountain Medical, LLC$2K
- Hikma Pharmaceuticals USA$423
- Medacta USA, Inc.$209
- plus $957 from 17 others
What the payments were for
- Consulting fees$1,2489%
- Travel & lodging$7,55753%
- Food & beverage$2,96921%
- Education$2,44017%
- Entertainment$70%
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 |
|---|---|---|
| Shalby Advanced Technologies, Inc. | 18 | $4,874 |
| Microport Orthopedics Inc | 18 | $2,941 |
| Arthrex | 25 | $2,782 |
| Gemini Mountain Medical, LLC | 3 | $2,035 |
| Hikma Pharmaceuticals USA | 1 | $423 |
| Medacta USA, Inc. | 3 | $209 |
| Smith+Nephew | 2 | $200 |
| AstraZeneca | 7 | $118 |
| Shoulder Innovations, Inc. | 1 | $97 |
| Amgen | 6 | $80 |
| Novo Nordisk | 5 | $76 |
| Merck | 4 | $64 |
| Restor3d, Inc. | 1 | $58 |
| Lilly USA, LLC | 4 | $55 |
| Biogennix, LLC | 1 | $52 |
| Abanza Inc. | 1 | $33 |
| Stryker | 1 | $30 |
| Johnson & Johnson | 1 | $22 |
| Orthofix Medical, Inc. | 2 | $19 |
| Boehringer Ingelheim | 1 | $18 |
| Eisai Inc. | 1 | $15 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Organogenesis Inc. | 1 | $7 |
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.
- CONSENSUS HIP SYSTEM$3,320
- Taperset Reduced Distal Profile$3,320
- Acetabular Shell$3,320
- CS2 Acet. Cup Sys. - VitalitE$3,320
- MPO Hip System$1,803
- CKS- Vitalite$1,650
- CONSENSUS KNEE SYSTEM$1,650
- MPO Medial Pivot Knee$746
- COMBOGESIC IV$423
- Tahoe Uni Knee System$213
- TracOne Uni Knee System$107
- Regeneten$102
- NOVOSTITCH PRO$102
- NAVIO$102
How this compares
$14,222 in reported general payments places this provider in the 90th percentile of 69 orthopaedic surgery providers in Wyoming.
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 | 22 | $776 |
| Gabapentin | 16 | $120 |
| Methylprednisolone | 13 | $116 |
| Meloxicam | 11 | $36 |
| Amoxicillin | 13 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Cody
- Emily HarndenCody$9K
- Christopher RiceCody$3K
- Jimmie BilesCody$2K
- Christopher HillsJackson$107K
- Matthew FournierLaramie$34K
- Jaymeson ArthurCasper$30K
- Ryan AukermanLaramie$24K
- Robert GrunfeldGillette$17K
- Jory WasserburgerSheridan$12K
- Mark McKennaLaramie$10K
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.