Nicholas Sama, MD
Orthopaedic Trauma · Wellington, FLNPI 1457397036
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $5,985 of the $9,301 with a category attached, or 64.4%. Acumed LLC accounts for 74.6% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2020 at $4,834 and has fallen 74.0% since, to $1,257 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in FL, where the typical reported total is $12,956.
Across 42 payments — averaging $221.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$7K
- Smith+Nephew$714
- Ecential Robotics$532
- Johnson & Johnson$433
- Stryker$214
- Acera Surgical, Inc.$159
- plus $306 from 5 others
What the payments were for
- Consulting fees$7939%
- Speaking & faculty fees$5,98564%
- Travel & lodging$3173%
- Food & beverage$2,20524%
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 |
|---|---|---|
| Acumed LLC | 9 | $6,942 |
| Smith+Nephew | 9 | $714 |
| Ecential Robotics | 2 | $532 |
| Johnson & Johnson | 12 | $433 |
| Stryker | 2 | $214 |
| Acera Surgical, Inc. | 1 | $159 |
| Medical Device Business Services, Inc. | 1 | $148 |
| Carbofix Orthopedics Inc | 2 | $68 |
| Pacira Pharmaceuticals Incorporated | 2 | $46 |
| Medtronic | 1 | $30 |
| Amgen | 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.
- Acutrak Headless Compression Screw System$4,585
- Ankle Plating System$3,675
- Acu-Loc Wrist Plating System$3,325
- Anatomic Radial Head System$3,325
- Clavicle Plating System$3,325
- Elbow Plating System$1,400
- EVOS$546
- Calcaneal Plating System$350
- Fibula Rod System$350
- Forefoot/Midfoot Plating System$350
- Small Fragment Base Set$350
- MONOVISC$307
- GAMMA$171
- PANGEA$171
- Restrata Wound Matrix$159
- ORTHOVISC$148
How this compares
$9,301 in reported general payments places this provider in the 40th percentile of 65 orthopaedic trauma providers in Florida.
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 |
|---|---|---|
| Etodolac | 114 | $781 |
| Methylprednisolone | 78 | $552 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 39 | $535 |
| Celecoxib | 30 | $484 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $345 |
| Tramadol Hcl | 28 | $55 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Wellington
- J Dean ColeOrlando$4.2M
- Vuong NguyenOrlando$1.4M
- Edward PerezFt Lauderdale$981K
- Hassan MirTemple Terrace$877K
- Daniel SeginaMelbourne$330K
- Kenneth KovalOrlando$321K
- Mohamed ShaathOrlando$303K
- Daniel DziadoszSt Petersburg$262K
- Frank AviluceaOrlando$191K
- Christiaan MamczakSt Petersburg$182K
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.