Paul Kiritsis, MD
Orthopaedic Surgery · Midlothian, VANPI 1629015094
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $646,713 of the $780,871 with a category attached, or 82.8%. Zimmer Biomet accounts for 89.8% of it on its own, with 11 other manufacturers making up the rest. Among orthopaedic surgery clinicians in VA 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.
Across 255 payments — averaging $3062.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$701K
- Shoulder Innovations, Inc.$49K
- Encore Medical, LP$17K
- Limacorporate S.p.a.$7K
- Fortis Surgical, LLC$3K
- Arthrex$2K
- plus $575 from 6 others
Across 4 payments — averaging $707.56 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.
- Zimmer Biomet$3K
What the payments were for
- Royalty or licence$646,71383%
- Consulting fees$102,86113%
- Travel & lodging$23,1683%
- Food & beverage$5,5351%
- Education$2,5320%
- Gifts$630%
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 |
|---|---|---|
| Zimmer Biomet | 160 | $701,385 |
| Shoulder Innovations, Inc. | 27 | $48,711 |
| Encore Medical, LP | 12 | $17,309 |
| Limacorporate S.p.a. | 1 | $7,142 |
| Fortis Surgical, LLC | 22 | $3,411 |
| Arthrex | 25 | $2,338 |
| Johnson & Johnson | 3 | $214 |
| Lima USA, Inc. | 1 | $121 |
| Smith+Nephew | 1 | $98 |
| Stryker | 1 | $66 |
| Anika Therapeutics, Inc. | 1 | $57 |
| Heraeus Medical, LLC. | 1 | $19 |
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.
- Alps Plates and Instruments$218,515
- A.L.P.S.$181,256
- NCB$160,431
- NexGen$97,222
- InSet System$48,485
- Periarticular Locking Plates$10,625
- SMR Shoulder$7,263
- Comprehensive Shoulder$5,132
- Ziploop$3,750
- Alps Elbow$2,750
- Extremities Product Portfolio$2,257
- Alps Clavicle$1,212
- Trauma-None$794
- DJO SURGICAL$411
- Affixus$306
- Extremities-None$291
- Comprehensive Shoulder System$261
- INHANCE$138
How this compares
$780,871 in reported general payments places this provider in the 95th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 115 | $1,231 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $352 |
| Prednisone | 17 | $197 |
| Meloxicam | 71 | $131 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 85 | $119 |
| Cephalexin | 28 | $88 |
| Ondansetron Hcl | 11 | $35 |
| Tamsulosin Hcl | 17 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Midlothian
- James ReynoldsMidlothian$99K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
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.