RxDoctor Payments Data

Nirav Shah, MD

Adult Reconstructive Orthopaedic Surgery · West Hills, CANPI 1255531182

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $96,812 of the $126,734 with a category attached, or 76.4%. 23 manufacturers reported payments, led by Encore Medical, LP at 55.1% of the total.

$126,734in general payments, 2019–2025

Across 238 payments — averaging $532.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Encore Medical, LP$70K
  • Zimmer Biomet$50K
  • Insight Medical Systems, Inc.$3K
  • Smith+Nephew$1K
  • Johnson & Johnson$626
  • Stryker$605
  • plus $2K from 17 others

What the payments were for

  • Consulting fees$96,81276%
  • Travel & lodging$18,45515%
  • Food & beverage$7,8676%
  • Education$3,6003%

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

$126,734 in reported general payments places this provider in the 80th percentile of 136 adult reconstructive orthopaedic surgery providers in California.

See all adult reconstructive orthopaedic surgery providers in California

Medicare billing

Part B allowed, 2024
$411,809
Medicare patients
426
Services billed
4,623

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen467$6,093
Diclofenac Sodium65$6,009
Ondansetron OdtOndansetron318$3,725
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen180$2,220
Celecoxib33$2,138
Tramadol Hcl508$1,777
Scopolamine146$1,421
Meloxicam431$787
Gabapentin37$256
Methylprednisolone26$226
Ibuprofen38$188
Acetaminophen-CodeineAcetaminophen With Codeine15$131
Oxycodone Hcl14$65
Amoxicillin21$32

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in West Hills

See the full list for California

Where these figures come from

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