Randa Elmallah, MD
Orthopaedic Surgery · Boston, MANPI 1376905455
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (49.6%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Smith+Nephew at 43.6% of the total. Reporting peaked in 2021 at $37,223 and has fallen 98.5% since, to $569 in 2025. Among orthopaedic surgery clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 68 payments — averaging $883.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$26K
- Arthrex$20K
- Stryker$5K
- Medical Device Business Services, Inc.$2K
- Encore Medical, LP$2K
- Titan Surgical Group, LLC$1K
- plus $3K from 7 others
What the payments were for
- Speaking & faculty fees$1,5002%
- Grants$22,48437%
- Travel & lodging$3,3146%
- Food & beverage$2,9715%
- Education$29,79050%
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 | 2 | $26,190 |
| Arthrex | 4 | $20,288 |
| Stryker | 39 | $4,965 |
| Medical Device Business Services, Inc. | 1 | $2,484 |
| Encore Medical, LP | 3 | $1,735 |
| Titan Surgical Group, LLC | 4 | $1,263 |
| Kairos Surgical Inc | 2 | $1,211 |
| ALON Medical Technology | 1 | $1,200 |
| Johnson & Johnson | 7 | $483 |
| Globus Medical | 1 | $169 |
| Coastal Medical Technologies LLC | 2 | $38 |
| Kerecis Limited | 1 | $21 |
| Orthofix Medical, Inc. | 1 | $12 |
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
$60,059 in reported general payments places this provider in the 90th percentile of 542 orthopaedic surgery providers in Massachusetts.
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 |
|---|---|---|
| Oxycodone Hcl | 35 | $153 |
| Ondansetron Hcl | 23 | $144 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Boston
- Paul TornettaBoston$16.3M
- Thomas ThornhillBoston$12M
- Andrew FreibergBoston$5.9M
- Jon WarnerBoston$5.4M
- Wolfgang FitzBoston$3.7M
- John KwonBoston$663K
- Christopher ChiodoBoston$539K
- Andrew WhiteBoston$438K
- Carl TalmoBoston$315K
- Michael KainBoston$171K
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.