Raffy Mirzayan
Neuromusculoskeletal Medicine & OMM · Baldwin Park, CANPI 1588731467
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $403,730 of the $458,381 with a category attached, or 88.1%. Arthrex accounts for 99.0% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $150,374, 5.2 times the $29,048 reported in 2019. Among neuromusculoskeletal medicine & omm clinicians in CA 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 326 payments — averaging $1406.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$454K
- Saxum Surgical, Inc.$941
- Empire Medical, Inc$800
- Joint Restoration Foundation, Inc.$597
- Micromed Inc$450
- Exactech, Inc.$306
- plus $1K from 9 others
What the payments were for
- Consulting fees$8,0002%
- Speaking & faculty fees$403,73088%
- Travel & lodging$38,4978%
- Food & beverage$8,1542%
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 |
|---|---|---|
| Arthrex | 296 | $453,898 |
| Saxum Surgical, Inc. | 7 | $941 |
| Empire Medical, Inc | 1 | $800 |
| Joint Restoration Foundation, Inc. | 4 | $597 |
| Micromed Inc | 4 | $450 |
| Exactech, Inc. | 2 | $306 |
| Linvatec Corporation | 2 | $301 |
| Goode Surgical Inc | 1 | $249 |
| Vital Orthopedics LLC | 1 | $204 |
| Catalyst Orthoscience | 3 | $179 |
| Elevate Surgical Co | 1 | $158 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $97 |
| Impactortho, Inc. | 1 | $79 |
| Stryker | 1 | $70 |
| Lifenet Health | 1 | $52 |
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
$458,381 in reported general payments places this provider in the 95th percentile of 113 neuromusculoskeletal medicine & omm providers in California.
See all neuromusculoskeletal medicine & omm providers in California →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 23 | $135 |
Paid to pharmacies, not to this prescriber.
Other neuromusculoskeletal medicine & omm in Baldwin Park
- Chris HelmstedterBaldwin Park$992
- Paul KimBaldwin Park$217
- Dean MatsudaLos Angeles$452K
- Scott ShoemakerSan Diego$49K
- Narendra GurbaniBellflower$40K
- Kiran BathFullerton$20K
- Richard DellBellflower$15K
- Emil DionysianAnaheim$14K
- Richard HartmanSanta Barbara$6K
- Neil HarnessAnaheim$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.