Paul Gagnet, MD
Orthopaedic Surgery · Ann Arbor, MINPI 1467944306
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $961 of the $1,230 with a category attached, or 78.1%. 9 manufacturers reported payments, led by Si-bone, Inc. at 24.9% of the total. 2025 is the largest year on record at $675, more than ten times the $41 reported in 2022. That places this record below the midpoint for orthopaedic surgery clinicians in MI, where the typical reported total is $3,012.
Across 18 payments — averaging $68.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$306
- Stryker$223
- Zimmer Biomet$162
- Icotec Medical Inc.$148
- Globus Medical$128
- Medtronic$111
- plus $151 from 3 others
What the payments were for
- Travel & lodging$26922%
- Food & beverage$96178%
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
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 |
|---|---|---|
| Si-bone, Inc. | 2 | $306 |
| Stryker | 4 | $223 |
| Zimmer Biomet | 2 | $162 |
| Icotec Medical Inc. | 1 | $148 |
| Globus Medical | 2 | $128 |
| Medtronic | 1 | $111 |
| VB Spine LLC | 4 | $84 |
| Johnson & Johnson | 1 | $41 |
| Bioventus LLC | 1 | $26 |
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.
- IFUSE IMPLANT SYSTEM$269
- VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM$148
- VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM$148
- KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM$148
- KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM$148
- KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM$148
- Persona$121
- AQUAMANTYS$111
- Excelsius - GPS$111
How this compares
$1,230 in reported general payments places this provider in the 30th percentile of 829 orthopaedic surgery providers in Michigan.
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 |
|---|---|---|
| Methocarbamol | 12 | $116 |
| Oxycodone Hcl | 23 | $90 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Ann Arbor
- Asheesh BediAnn Arbor$9.4M
- John BlahaAnn Arbor$1.5M
- Bruce MillerAnn Arbor$346K
- Rakesh PatelAnn Arbor$308K
- Ira ZaltzAnn Arbor$208K
- Aaron PerdueAnn Arbor$154K
- James GouletAnn Arbor$143K
- William AibinderAnn Arbor$136K
- Paul TalusanAnn Arbor$83K
- Jerome WiaterBeverly Hills$3.9M
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.