Ramy Elias, MD
Orthopaedic Surgery · Fountain Valley, CANPI 1437165362
Payments from drug & device makers
Across 93 payments — averaging $88.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Stryker$2K
- UOC USA Inc$1K
- Micromed Inc$1K
- Zimmer Biomet$585
- Intellijoint Surgical Inc.$274
- plus $817 from 13 others
What the payments were for
- Consulting fees$1,08013%
- Travel & lodging$1,67920%
- Food & beverage$4,48255%
- Education$98012%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 23 | $2,216 |
| Stryker | 32 | $2,061 |
| UOC USA Inc | 3 | $1,148 |
| Micromed Inc | 2 | $1,119 |
| Zimmer Biomet | 10 | $585 |
| Intellijoint Surgical Inc. | 1 | $274 |
| Saxum Surgical, Inc. | 1 | $182 |
| Globus Medical | 2 | $140 |
| Illuminoss Medical, Inc. | 1 | $89 |
| ERMI LLC | 2 | $85 |
| Amgen(2 entities) | 4 | $72 |
| Orthofix Medical, Inc. | 2 | $60 |
| Linvatec Corporation | 3 | $60 |
| Johnson & Johnson | 2 | $40 |
| Bioventus LLC | 1 | $25 |
| Heraeus Medical, LLC. | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Avanos Medical | 1 | $14 |
| Heron Therapeutics, Inc. | 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.
- OR3O Dual Mobility$1,089
- POLARSTEM$1,089
- RI.HIP NAVIGATION$1,089
- JOURNEY$1,089
- U-Star II$1,080
- INSPACE$954
- Journey II$667
- REAL INTELLIGENCE$626
- Legion Revision$483
- REDAPT$333
- Intelljoint HIP$274
- ROSA-Knee$227
- REUNION$150
- ALPHAVENT$140
- Autobahn$128
How this compares
$8,221 in reported general payments places this provider in the 65th percentile of 1,808 orthopaedic surgery providers in California.
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 | 154 | $1,496 |
| Celecoxib | 70 | $1,050 |
| Ibuprofen | 76 | $660 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 39 | $405 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 28 | $271 |
| Meloxicam | 57 | $120 |
| Tramadol Hcl | 23 | $52 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fountain Valley
- Bradford HackArcadia$18.3M
- Robert GorabOrange$14.5M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Peter NewtonSan Diego$7M
- Nirav AminPlacentia$5.8M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
- Sigurd BervenSan Francisco$4.1M
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.