RxDoctor Payments Data

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.

$496,382in general payments, 2019–2025

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
$23,529in research payments, 2019–2025

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

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.

CompanyPaymentsTotal
Paragon 28, Inc.141$334,310
Stryker(2 entities)75$81,873
Osteomed LLC11$26,065
Restor3d, Inc.16$20,258
Acumed LLC7$13,850
Integra Lifesciences Corporation16$7,904
Ascension Orthopedics, Inc.7$6,938
Bioventus LLC1$4,713
Johnson & Johnson8$349
Axogen1$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.

How this compares

$496,382 in reported general payments places this provider in the 95th percentile of 495 orthopaedic surgery providers in Washington.

See all orthopaedic surgery providers in Washington

Medicare billing

Part B allowed, 2024
$91,061
Medicare patients
228
Services billed
462

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
Gabapentin14$269
Meloxicam18$62

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Seattle

See the full list for Washington

Where these figures come from

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