Michael Karch, MD
Orthopaedic Surgery · Mammoth Lakes, CANPI 1861548448
Payments from drug & device makers
Across 18 payments — averaging $126.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Development Corporation$1K
- Johnson & Johnson$235
- Arthrex$176
- Stryker$164
- Acera Surgical, Inc.$133
- Abanza Inc.$117
- plus $235 from 3 others
What the payments were for
- Travel & lodging$1,11849%
- Food & beverage$1,15351%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Ortho Development Corporation | 2 | $1,211 |
| Johnson & Johnson | 5 | $235 |
| Arthrex | 3 | $176 |
| Stryker(2 entities) | 3 | $164 |
| Acera Surgical, Inc. | 1 | $133 |
| Abanza Inc. | 1 | $117 |
| Philips North America LLC | 1 | $112 |
| Medical Device Business Services, Inc. | 1 | $102 |
| Misonix Inc | 1 | $22 |
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.
- Balanced Knee System$1,118
- Restrata Wound Matrix$133
- WasherCap Fixation System 10mm$117
- WasherCap Mini Fixation system 4.5mm$117
- (6479) Spectral CT 7500$112
- Velys$102
How this compares
$2,271 in reported general payments places this provider in the 45th percentile of 1,808 orthopaedic surgery providers in California.
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.
Other orthopaedic surgery in Mammoth Lakes
- Jeffrey MastMammoth Lakes$2.2M
- Bradford HackArcadia$18.3M
- Robert GorabOrange$14.5M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Peter NewtonSan Diego$7M
- Nirav AminPlacentia$5.8M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
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.