Michael Laker, MD
Adult Reconstructive Orthopaedic Surgery · Rochester, MINPI 1043353444
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $7,363 of the $10,050 with a category attached, or 73.3%. Medical Device Business Services, Inc. accounts for 75.2% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $7,804, more than ten times the $175 reported in 2019. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in MI, where the typical reported total is $8,679.
Across 38 payments — averaging $264.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$8K
- Johnson & Johnson$2K
- Stryker$584
- Aroa Biosurgery Incorporated$155
- Bioventus LLC$75
- Pacira Therapeutics, Inc.$29
- plus $69 from 4 others
What the payments were for
- Consulting fees$7,36373%
- Travel & lodging$7818%
- Food & beverage$1,90619%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 8 | $7,559 |
| Johnson & Johnson | 15 | $1,579 |
| Stryker | 7 | $584 |
| Aroa Biosurgery Incorporated | 1 | $155 |
| Bioventus LLC | 2 | $75 |
| Pacira Therapeutics, Inc. | 1 | $29 |
| Acera Surgical, Inc. | 1 | $21 |
| Medtronic | 1 | $16 |
| Zimmer Biomet | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
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
$10,050 in reported general payments places this provider in the 50th percentile of 35 adult reconstructive orthopaedic surgery providers in Michigan.
See all adult reconstructive orthopaedic surgery providers in Michigan →
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 206 | $1,298 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 106 | $679 |
| Ibuprofen | 55 | $619 |
| Diclofenac Sodium | 62 | $615 |
| Amoxicillin | 76 | $137 |
| Tramadol Hcl | 64 | $113 |
| Methocarbamol | 24 | $108 |
| Ondansetron Hcl | 12 | $100 |
| Clindamycin Hcl | 23 | $99 |
| Meloxicam | 33 | $87 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 15 | $86 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Rochester
- Jeffrey DeclaireRochester$5.4M
- Michael MasiniYpsilanti$6.3M
- Trevor BankaDetroit$339K
- Timothy EkpoGrand Blanc$295K
- Nicholas FrischAuburn Hills$244K
- Charles TauntLansing$126K
- Brian de BeaubienSaginaw$117K
- Daniel MeskoLansing$99K
- Anthony GemayelFlint$78K
- Sam Hakki HacketteWarren$40K
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.