Michael Sirota, MD
Orthopaedic Surgery · San Diego, CANPI 1558542423
Payments from drug & device makers
Across 130 payments — averaging $121.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Stryker$3K
- Smith+Nephew$2K
- Impactortho, Inc.$1K
- Elevate Surgical Co$1K
- Sportstek Medical, Inc$794
- plus $3K from 19 others
What the payments were for
- Travel & lodging$3,79124%
- Food & beverage$5,77737%
- Education$5,94338%
- Other$2922%
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 |
|---|---|---|
| Arthrex | 20 | $4,782 |
| Stryker | 32 | $2,522 |
| Smith+Nephew | 20 | $2,467 |
| Impactortho, Inc. | 2 | $1,225 |
| Elevate Surgical Co | 5 | $1,082 |
| Sportstek Medical, Inc | 1 | $794 |
| Johnson & Johnson(2 entities) | 19 | $722 |
| Zimmer Biomet | 6 | $540 |
| Integra Lifesciences Corporation | 3 | $292 |
| Orthalign Inc | 1 | $211 |
| Vericel Corporation | 2 | $146 |
| Acumed LLC | 1 | $144 |
| Miach Orthopaedics, Inc. | 1 | $137 |
| BREG, Inc | 1 | $123 |
| Pacira Pharmaceuticals Incorporated | 1 | $122 |
| Linvatec Corporation | 1 | $97 |
| Bioventus LLC | 3 | $79 |
| Molnlycke Health Care US, LLC | 1 | $75 |
| Fidia Pharma USA Inc. | 2 | $61 |
| DJO, LLC | 2 | $50 |
| Pacira Therapeutics, Inc. | 2 | $48 |
| Electronic Waveform Lab, Inc. | 1 | $36 |
| Convatec Inc. | 1 | $19 |
| Axogen | 1 | $16 |
| Sanofi-aventis U.S. LLC | 1 | $13 |
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.
- Anthology$778
- OR3O Dual Mobility$778
- Tandem$778
- POLARSTEM$778
- RI.HIP NAVIGATION$778
- MAKO$664
- Legion Revision$412
- REDAPT Revision Hip System$365
- PICO 7 Single Use Negative Pressure Wound Therapy$218
- NA$213
- OrthAlign Plus System$211
- Persona$178
- AEQUALIS PERFORM REVERSED$164
- AEQUALIS FLEX REVIVE$161
- Samples Biologics$149
- Journey II BCS$147
- ACUMED$144
- MICROMATRIX$133
- mymobility Platform$132
- MACI$125
How this compares
$15,803 in reported general payments places this provider in the 75th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 85 | $438 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 36 | $138 |
| Meloxicam | 13 | $19 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in San Diego
- Peter NewtonSan Diego$7M
- Joseph JankiewiczSan Diego$2.6M
- Mark McBrideSan Diego$2.6M
- Bradford HackArcadia$18.3M
- Robert GorabOrange$14.5M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.8M
- Tom NorrisSan Francisco$5.3M
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.