Michael Rytel, MD
Orthopedic Surgery · Brackenridge, PANPI 1538151030
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $787 of the $1,293 with a category attached, or 60.9%. 10 manufacturers reported payments, led by Mid-atlantic Surgical Systems, LLC at 45.0% of the total. Reporting peaked in 2020 at $560 and has fallen 84.0% since, to $90 in 2025.
Across 31 payments — averaging $41.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mid-atlantic Surgical Systems, LLC$582
- Ferring Pharmaceuticals Inc.$293
- Vericel Corporation$126
- Zimmer Biomet$117
- Johnson & Johnson$70
- Vertex$42
- plus $63 from 4 others
What the payments were for
- Food & beverage$78761%
- Education$50539%
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 |
|---|---|---|
| Mid-atlantic Surgical Systems, LLC | 4 | $582 |
| Ferring Pharmaceuticals Inc. | 16 | $293 |
| Vericel Corporation | 2 | $126 |
| Zimmer Biomet | 1 | $117 |
| Johnson & Johnson(2 entities) | 2 | $70 |
| Vertex | 2 | $42 |
| Pacira Therapeutics, Inc. | 1 | $23 |
| Bioventus LLC | 1 | $17 |
| Ossio Inc | 1 | $12 |
| Arthrosurface Incorporated | 1 | $11 |
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
$1,293 in reported general payments places this provider in the 65th percentile of 43 orthopedic surgery providers in Pennsylvania.
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 |
|---|---|---|
| Diclofenac Sodium | 43 | $492 |
| Methylprednisolone | 60 | $293 |
| Tramadol Hcl | 117 | $197 |
| Meloxicam | 54 | $192 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 42 | $188 |
| Ibuprofen | 26 | $160 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $61 |
| Cephalexin | 12 | $39 |
| IbuIbuprofen | 14 | $27 |
| Amoxicillin | 11 | $12 |
Paid to pharmacies, not to this prescriber.
Other orthopedic surgery in Brackenridge
- James BradleyPittsburgh$5.2M
- Carl HasselmanPittsburgh$719K
- Richard McGoughPittsburgh$261K
- Vincent SilvaggioPittsburgh$179K
- Stephen ThomasMoon Township$30K
- Patrick SmithPittsburgh$20K
- Jennifer BidoPhiladelphia$10K
- Kieran CodyDoylestown$10K
- Alex KlinePittsburgh$8K
- Trenton GausePittsburgh$4K
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.