Ralph Junius, MD
Orthopaedic Surgery · Metairie, LANPI 1659464618
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $102,375 of the $157,570 with a category attached, or 65.0%. 14 manufacturers reported payments, led by Zimmer Biomet at 57.7% of the total. Reporting peaked in 2021 at $38,770 and has fallen 83.1% since, to $6,553 in 2025. Among orthopaedic surgery clinicians in LA 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 361 payments — averaging $436.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$91K
- Stryker$36K
- Medtronic$24K
- Smith+Nephew$3K
- Lima USA, Inc.$1K
- Johnson & Johnson$1K
- plus $612 from 8 others
What the payments were for
- Consulting fees$102,37565%
- Speaking & faculty fees$17,61011%
- Travel & lodging$25,48616%
- Food & beverage$12,0818%
- Education$180%
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 | 121 | $90,928 |
| Stryker(2 entities) | 111 | $36,455 |
| Medtronic(2 entities) | 65 | $24,394 |
| Smith+Nephew | 35 | $2,785 |
| Lima USA, Inc. | 6 | $1,223 |
| Johnson & Johnson | 7 | $1,173 |
| Heron Therapeutics, Inc. | 7 | $251 |
| Encore Medical, LP | 1 | $122 |
| Shalby Advanced Technologies, Inc. | 1 | $116 |
| Abbott | 2 | $30 |
| Boston Scientific | 1 | $28 |
| Sanofi-aventis U.S. LLC | 2 | $28 |
| Ferring Pharmaceuticals Inc. | 1 | $18 |
| Innovation Technologies Inc | 1 | $18 |
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.
- Oxford-Knees$41,021
- Oxford$34,086
- MAKO$31,906
- AQUAMANTYS$22,756
- Persona$4,006
- TRIATHLON$1,394
- SMR$1,116
- G7$652
- RESTORIS$600
- Tahoe Uni Knee System$233
- Velys$220
- FOOTPRINT$132
- HEALICOIL PK Shoulder$129
- REGENETEN Shoulder$129
- N/A$127
- LENS$127
- Accelero-None$123
- DJO Surgical AltiVate Reverse$122
- Bone Anchors with Arthroscopic Delivery System$121
- TracOne Uni Knee System$116
How this compares
$157,570 in reported general payments places this provider in the 95th percentile of 286 orthopaedic surgery providers in Louisiana.
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 | 41 | $533 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $400 |
| Methylprednisolone | 27 | $199 |
| Tramadol Hcl | 34 | $190 |
| Meloxicam | 30 | $132 |
| Ibuprofen | 12 | $122 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Metairie
- Ryan RoubionMetairie$48K
- Keith MelanconMetairie$27K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
- Kevin McCarthyBaton Rouge$594K
- Timmothy RandellAlexandria$498K
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.