Ralph Rizk, DO
Orthopaedic Surgery · Jacksonville, FLNPI 1144629205
Payments from drug & device makers
Across 317 payments — averaging $260.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$53K
- Team 1, LLC$12K
- Stryker$10K
- Zimmer Biomet$2K
- Johnson & Johnson$2K
- Smith+Nephew$1K
- plus $3K from 28 others
What the payments were for
- Consulting fees$1,0001%
- Speaking & faculty fees$48,75059%
- Travel & lodging$11,62314%
- Food & beverage$16,00819%
- Education$5,1546%
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 | 46 | $53,019 |
| Team 1, LLC | 35 | $11,717 |
| Stryker | 138 | $10,348 |
| Zimmer Biomet | 23 | $1,834 |
| Johnson & Johnson | 14 | $1,690 |
| Smith+Nephew | 8 | $1,282 |
| Limacorporate S.p.a. | 1 | $1,000 |
| Medical Device Business Services, Inc. | 9 | $471 |
| Pacira Therapeutics, Inc. | 5 | $153 |
| Biocomposites Inc | 2 | $130 |
| Lima USA, Inc. | 1 | $124 |
| Conformis, Inc. | 1 | $119 |
| Davol Inc. | 3 | $104 |
| Heraeus Medical, LLC. | 6 | $63 |
| Pacira Pharmaceuticals Incorporated | 3 | $56 |
| Convatec Inc. | 3 | $53 |
| Bioventus LLC | 2 | $49 |
| Aroa Biosurgery Incorporated | 1 | $25 |
| Zimvie Inc. | 1 | $24 |
| Theragen, Inc. | 1 | $24 |
| Vertex | 1 | $22 |
| Kerecis Limited | 1 | $21 |
| Fidia Pharma USA Inc. | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $20 |
| KCI USA, Inc. | 1 | $20 |
| Reprise Biomedical, Inc. | 1 | $20 |
| ERMI LLC | 1 | $19 |
| Embody, Inc. | 1 | $18 |
| Paragon 28, Inc. | 1 | $18 |
| Medacta USA, Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
| Innovation Technologies Inc | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $14 |
| Heron Therapeutics, Inc. | 1 | $13 |
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.
- MAKO$5,659
- PHYSICA CR$1,124
- CORAIL$782
- ATTUNE$782
- TRIGEN Sureshot$709
- TRIGEN InterTAN$709
- TRIDENT$700
- ACCOLADE$687
- Taperloc$551
- TRITANIUM$537
- RESTORATION$537
- ACTIS$349
- Oxford$311
- POLARCUP$201
- POLARSTEM$201
- REDAPT Revision Hip System$201
- Journey II BCS$201
- Journey II XR$201
- REELX$175
- TRIATHLON$149
How this compares
$82,535 in reported general payments places this provider in the 85th percentile of 1,263 orthopaedic surgery providers in Florida.
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 | 152 | $1,394 |
| Doxycycline Hyclate | 17 | $1,055 |
| Celecoxib | 61 | $1,034 |
| Methylprednisolone | 119 | $909 |
| Meloxicam | 267 | $831 |
| Cephalexin | 24 | $700 |
| Oxycodone Hcl | 57 | $351 |
| Tramadol Hcl | 26 | $320 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $191 |
| Pregabalin | 29 | $182 |
| Ondansetron Hcl | 13 | $124 |
| Ondansetron OdtOndansetron | 11 | $97 |
| Cyclobenzaprine Hcl | 13 | $74 |
| Pantoprazole Sodium | 20 | $66 |
| Amoxicillin | 14 | $22 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Jacksonville
- Bryan SpringerJacksonville$6.3M
- Jorge AcevedoJacksonville$3.3M
- Rahul DeshmukhJacksonville$769K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Martin RocheFt. Lauderdale$7.3M
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.