Reuben Macias, MD
Orthopaedic Surgery · East Providence, RINPI 1174977508
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 20.6%.
Across 51 payments — averaging $133.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$1K
- Stryker$1K
- Smith+Nephew$1K
- Rattan And Associates$1K
- Johnson & Johnson$543
- Zimmer Biomet$539
- plus $463 from 7 others
What the payments were for
- Travel & lodging$1,26018%
- Food & beverage$3,17346%
- Education$2,40035%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 4 | $1,409 |
| Stryker | 16 | $1,386 |
| Smith+Nephew | 10 | $1,293 |
| Rattan And Associates | 1 | $1,200 |
| Johnson & Johnson | 4 | $543 |
| Zimmer Biomet | 4 | $539 |
| Medical Device Business Services, Inc. | 5 | $350 |
| Orthalign Inc | 1 | $27 |
| Terumo BCT, Inc. | 1 | $23 |
| CSL Behring | 1 | $23 |
| Music City Medical Technologies, LLC | 1 | $14 |
| Heron Therapeutics, Inc. | 2 | $14 |
| E.r. Squibb & Sons, L.L.C. | 1 | $11 |
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.
- Journey II$1,253
- REAL INTELLIGENCE$735
- Legion$627
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$499
- ATTUNE$149
- EVOS SMALL$148
- TRIGEN InterTAN$148
- AXSOS$143
- Affixus$142
- SECUR-FIT$136
- REUNION$135
- T2$129
- Velys$116
- Persona$102
How this compares
$6,833 in reported general payments places this provider in the 60th percentile of 124 orthopaedic surgery providers in Rhode Island.
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.
Other orthopaedic surgery in East Providence
- Alan DanielsEast Providence$1.9M
- Valentin AntociEast Providence$210K
- Dominic KleinhenzEast Providence$164K
- Bassel DieboEast Providence$138K
- Andrew VegaEast Providence$54K
- Ferras AlbitarEast Providence$53K
- Roy AaronEast Providence$37K
- David TapscottEast Providence$34K
- Ryan HoffmanEast Providence$24K
- Darshan ShahEast Providence$13K
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.