RxDoctor Payments Data

Milton Little, MD

Orthopaedic Surgery · Los Angeles, CANPI 1407015092

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (49.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Globus Medical at 35.1% of the total. Reporting peaked in 2024 at $64,594 and has fallen 55.4% since, to $28,806 in 2025. Among orthopaedic surgery clinicians in CA 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.

$243,868in general payments, 2019–2025

Across 253 payments — averaging $963.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Globus Medical$86K
  • Medical Device Business Services, Inc.$52K
  • Synthes GmbH$47K
  • Stryker$26K
  • Synthes USA Products LLC$17K
  • Restor3d, Inc.$12K
  • plus $4K from 12 others

What the payments were for

  • Consulting fees$119,86449%
  • Speaking & faculty fees$74,54831%
  • Travel & lodging$38,39316%
  • Food & beverage$7,3333%
  • Ownership interest$3,7312%

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.

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

$243,868 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.

See all orthopaedic surgery providers in California →

Medicare billing

Part B allowed, 2024
$197,168
Medicare patients
335
Services billed
763

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
Oxycodone Hcl17$93
Meloxicam14$34
Tramadol Hcl15$27

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Los Angeles

See the full list for California →

Where these figures come from

Is this you, or does something look wrong? →