RxDoctor Payments Data

Paul Defrino, MD

Orthopaedic Surgery · Palos Heights, ILNPI 1326046319

Payments from drug & device makers

What this record shows

This record is dominated by other: $245,999 of the $253,499 with a category attached, or 97.0%. Arteriocyte Medical Systems, Inc. accounts for 98.5% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $246,269 and has fallen 98.5% since, to $3,674 in 2025. Among orthopaedic surgery clinicians in IL 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.

$253,499in general payments, 2019–2025

Across 60 payments — averaging $4224.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arteriocyte Medical Systems, Inc.$250K
  • Medwest Associates$1K
  • Medical Device Business Services, Inc.$944
  • Stryker$703
  • Johnson & Johnson$389
  • Paragon 28, Inc.$91
  • plus $534 from 11 others
$65,050in research payments, 2019–2025

Across 3 payments — averaging $21,683 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Tyber Medical, LLC$65K

What the payments were for

  • Consulting fees$3,9002%
  • Food & beverage$2,4001%
  • Education$1,2000%
  • Other$245,99997%

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

$253,499 in reported general payments places this provider in the 95th percentile of 844 orthopaedic surgery providers in Illinois.

See all orthopaedic surgery providers in Illinois

Medicare billing

Part B allowed, 2024
$151,119
Medicare patients
337
Services billed
1,482

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
Diclofenac Sodium48$722
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen61$446
Clindamycin Hcl13$101
Tramadol Hcl19$28

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Palos Heights

See the full list for Illinois

Where these figures come from

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