Paul Sousa, MD
Adult Reconstructive Orthopaedic Surgery · Buckeye, AZNPI 1275915332
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 82.6% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $48,472, more than ten times the $1,877 reported in 2019.
Across 137 payments — averaging $509.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$58K
- Zimmer Biomet$9K
- Medical Device Business Services, Inc.$1K
- Stryker$1K
- Davol Inc.$274
- Onkos Surgical, Inc.$161
- plus $410 from 5 others
What the payments were for
- Consulting fees$33,86348%
- Speaking & faculty fees$11,55017%
- Travel & lodging$8,56612%
- Food & beverage$8,13312%
- Education$7,72411%
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 |
|---|---|---|
| Smith+Nephew | 53 | $57,691 |
| Zimmer Biomet | 51 | $8,730 |
| Medical Device Business Services, Inc. | 11 | $1,393 |
| Stryker | 13 | $1,176 |
| Davol Inc. | 2 | $274 |
| Onkos Surgical, Inc. | 2 | $161 |
| Illuminoss Medical, Inc. | 1 | $127 |
| Arthrex | 1 | $115 |
| UOC USA Inc | 1 | $78 |
| Johnson & Johnson | 1 | $76 |
| DJO, LLC | 1 | $14 |
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.
- Journey II$49,282
- REAL INTELLIGENCE$40,978
- K-15 PORK$29,269
- Legion$12,994
- Legion Revision$10,245
- REDAPT$8,276
- Persona$4,158
- OR3O Dual Mobility$2,100
- JOURNEY$2,091
- ACTIS$1,244
- ATTUNE$1,244
- PICO$924
- MAKO$921
- Avenir$453
- ROSA$162
- POLARCUP$155
- Oxford$138
- Channel Drain$135
- ELEOS LIMB SALVAGE SYSTEM$128
- Photodynamic Bone Stabilization Procedure Pack$127
How this compares
$69,836 in reported general payments places this provider in the 85th percentile of 43 adult reconstructive orthopaedic surgery providers in Arizona.
See all adult reconstructive orthopaedic surgery providers in Arizona →
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 |
|---|---|---|
| Celecoxib | 324 | $7,001 |
| Oxycodone Hcl | 123 | $921 |
| Diclofenac Sodium | 53 | $788 |
| Amoxicillin | 498 | $653 |
| Meloxicam | 238 | $576 |
| Gabapentin | 11 | $135 |
| Tramadol Hcl | 45 | $132 |
| Clindamycin Hcl | 81 | $130 |
| Ibuprofen | 28 | $125 |
| Methylprednisolone | 16 | $100 |
| Ondansetron Hcl | 11 | $63 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Buckeye
- Michael MillerTucson$2.3M
- Russell CohenTucson$970K
- Steven MyerthallGilbert$691K
- Salvatore LacognataGilbert$445K
- Lige KaplanPhoenix$327K
- Abigail HamiltonTucson$150K
- John ThompsonSun City$64K
- Jason ScalisePhoenix$60K
- John MaltryTucson$58K
- Richard BassettPrescott$36K
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.