RxDoctor Payments Data

Michael Alexiades, MD

Orthopaedic Surgery · New York, NYNPI 1558467027

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (55.0%), other and consulting fees — rather than concentrated in one kind of arrangement. Encore Medical, LP accounts for 98.2% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2021 at $265,615 and has fallen 58.1% since, to $111,406 in 2025. Among orthopaedic surgery clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$570,916in general payments, 2019–2025

Across 101 payments — averaging $5652.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Encore Medical, LP$560K
  • Medical Device Business Services, Inc.$7K
  • Intellijoint Surgical Inc.$3K
  • Zimmer Biomet$123
$15,979in research payments, 2019–2025

Across 8 payments — averaging $1997.42 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.

  • Medical Device Business Services, Inc.$9K
  • Stryker$7K
$1,053in ownership & investment interests, 2019–2025

Across 8 payments — averaging $131.62 each. An ownership or investment interest held by the physician or an immediate family member.

  • Intellijoint Surgical Inc.$1K
  • Insight Medical Systems, Inc.$0
  • Shoulder Innovations, Inc.$0

What the payments were for

  • Royalty or licence$314,28755%
  • Consulting fees$48,6629%
  • Travel & lodging$6,7521%
  • Food & beverage$8050%
  • Other$200,41035%

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

$570,916 in reported general payments places this provider in the 95th percentile of 1,079 orthopaedic surgery providers in New York.

See all orthopaedic surgery providers in New York

Medicare billing

Part B allowed, 2024
$2,313
Medicare patients
21
Services billed
23

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
Diclofenac Sodium-MisoprostolDiclofenac Sodium/Misoprostol14$1,287
Meloxicam78$255
Amoxicillin80$157

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in New York

See the full list for New York

Where these figures come from

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