RxDoctor Payments Data

Nicholas Scarcella, MD

Adult Reconstructive Orthopaedic Surgery · Cleveland, OHNPI 1043744659

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $5,787 of the $7,141 with a category attached, or 81.0%. 12 manufacturers reported payments, led by Stryker at 31.9% of the total. Reporting peaked in 2023 at $4,107 and has fallen 61.1% since, to $1,599 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in OH, where the typical reported total is $10,094.

$7,141in general payments, 2019–2025

Across 84 payments — averaging $85.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$2K
  • Zimmer Biomet$2K
  • Smith+Nephew$2K
  • Biocomposites Inc$211
  • Medtronic$161
  • Johnson & Johnson$155
  • plus $373 from 6 others

What the payments were for

  • Travel & lodging$1,34319%
  • Food & beverage$5,78781%
  • Entertainment$120%

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

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.

CompanyPaymentsTotal
Stryker38$2,277
Zimmer Biomet26$2,124
Smith+Nephew7$1,841
Biocomposites Inc2$211
Medtronic2$161
Johnson & Johnson(2 entities)3$155
Onkos Surgical, Inc.1$125
Linkbio Corp1$73
Think Surgical, Inc.1$71
Osteocentric Technologies, Inc.1$60
BD1$32
Argentum Medical1$12

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

$7,141 in reported general payments places this provider in the 40th percentile of 59 adult reconstructive orthopaedic surgery providers in Ohio.

See all adult reconstructive orthopaedic surgery providers in Ohio

Medicare billing

Part B allowed, 2024
$143,792
Medicare patients
248
Services billed
520

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 Hcl38$299
Meloxicam101$296
Doxycycline Hyclate20$196
Methylprednisolone23$175
Tramadol Hcl33$121
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim23$109
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen13$107
Baclofen13$75
Amoxicillin38$25
Prednisone12$18
Clindamycin Hcl11$17

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Cleveland

See the full list for Ohio

Where these figures come from

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