Michael Brage, MD
Orthopaedic Surgery · Seattle, WANPI 1194728709
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (50.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Paragon 28, Inc. accounts for 67.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $115,576 and has fallen 51.1% since, to $56,506 in 2025. Among orthopaedic surgery clinicians in WA 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.
Across 283 payments — averaging $1754.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$334K
- Stryker$82K
- Osteomed LLC$26K
- Restor3d, Inc.$20K
- Acumed LLC$14K
- Integra Lifesciences Corporation$8K
- plus $12K from 4 others
Across 21 payments — averaging $1120.41 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.
- Integra Lifesciences Corporation$12K
- Smith+Nephew$11K
What the payments were for
- Royalty or licence$249,58950%
- Consulting fees$196,01839%
- Speaking & faculty fees$12,4183%
- Travel & lodging$33,3217%
- Food & beverage$5,0361%
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 |
|---|---|---|
| Paragon 28, Inc. | 141 | $334,310 |
| Stryker(2 entities) | 75 | $81,873 |
| Osteomed LLC | 11 | $26,065 |
| Restor3d, Inc. | 16 | $20,258 |
| Acumed LLC | 7 | $13,850 |
| Integra Lifesciences Corporation | 16 | $7,904 |
| Ascension Orthopedics, Inc. | 7 | $6,938 |
| Bioventus LLC | 1 | $4,713 |
| Johnson & Johnson | 8 | $349 |
| Axogen | 1 | $123 |
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.
- Portfolio$193,582
- Product Portfolio$84,046
- INFINITY$69,004
- INBONE$34,549
- EXT-ExtremiLock Ankle$26,065
- PROPHECY$24,774
- INVISION$21,036
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$14,645
- PANTA NAIL$14,145
- TOTAL FOOT SYSTEM$14,145
- CADENCE ANKLE REPLACEMENT SYSTEM$14,145
- OsteoMed$13,850
- AUGMENT INJECTABLE$13,358
- ORTHOLOC 2 LAPIFUSE$10,350
- APEX 3D$8,787
- AUGMENT$5,559
- Additive Orthopedics$2,951
- PROstep$2,737
- TRAUMA$782
- HALLU-LOCK$728
How this compares
$496,382 in reported general payments places this provider in the 95th percentile of 495 orthopaedic surgery providers in Washington.
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 |
|---|---|---|
| Gabapentin | 14 | $269 |
| Meloxicam | 18 | $62 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Seattle
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
- Robert HartSeattle$942K
- Jeffrey RohSeattle$604K
- Daniel SchwartzSeattle$424K
- Grant GarciaSeattle$367K
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.