Motasem Refaat, MD
Orthopaedic Trauma · Clovis, CANPI 1780976902
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Medical Device Business Services, Inc. at 27.8% of the total.
Across 205 payments — averaging $461.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$26K
- Synthes GmbH$21K
- Biocomposites Inc$19K
- Synthes USA Products LLC$11K
- Arthrex$8K
- Johnson & Johnson$2K
- plus $6K from 11 others
What the payments were for
- Consulting fees$50,35753%
- Speaking & faculty fees$20,25021%
- Travel & lodging$15,72417%
- Food & beverage$8,2639%
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. | 36 | $26,335 |
| Synthes GmbH | 22 | $21,238 |
| Biocomposites Inc | 15 | $19,290 |
| Synthes USA Products LLC | 7 | $11,273 |
| Arthrex | 7 | $7,953 |
| Johnson & Johnson | 56 | $2,224 |
| Stryker | 20 | $2,023 |
| Lightbody Medical Technologies Inc | 14 | $1,862 |
| Smith+Nephew | 8 | $1,115 |
| Paragon 28, Inc. | 7 | $612 |
| Si-bone, Inc. | 2 | $181 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $145 |
| Skeletal Dynamics Inc | 2 | $132 |
| Osteocentric Technologies, Inc. | 3 | $115 |
| Kowa Pharmaceuticals America, Inc. | 3 | $54 |
| Cornerstone Medical Associates, Inc. | 1 | $25 |
| Pfizer | 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
$94,595 in reported general payments places this provider in the 80th percentile of 106 orthopaedic trauma 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 trauma in Clovis
- Eric LindvallClovis$609K
- Juntian WangClovis$31K
- Michael AllenClovis$13K
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- John ScolaroOrange$1M
- David LowenbergSan Francisco$788K
- Christopher LeeLos Angeles$475K
- Joshua GaryLos Angeles$466K
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.