Ricardo Pyfrom, MD
Orthopaedic Surgery · Merced, CANPI 1083788095
Payments from drug & device makers
Across 102 payments — averaging $42.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Supreme Orthopedic Systems, LLC$969
- Amgen$652
- DJO, LLC$171
- Boston Scientific$169
- Axogen$139
- plus $758 from 17 others
What the payments were for
- Travel & lodging$2826%
- Food & beverage$3,13872%
- Education$95422%
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 |
|---|---|---|
| Stryker(2 entities) | 19 | $1,516 |
| Supreme Orthopedic Systems, LLC | 2 | $969 |
| Amgen | 43 | $652 |
| DJO, LLC | 1 | $171 |
| Boston Scientific | 1 | $169 |
| Axogen | 1 | $139 |
| Encore Medical, LP | 1 | $128 |
| Electronic Waveform Lab, Inc. | 5 | $108 |
| ERMI LLC | 3 | $82 |
| Kowa Pharmaceuticals America, Inc. | 5 | $80 |
| Zyla Life Sciences, Inc. | 5 | $65 |
| Bioventus LLC | 2 | $52 |
| Pacira Pharmaceuticals Incorporated | 2 | $43 |
| Johnson & Johnson | 2 | $38 |
| Smith+Nephew | 1 | $29 |
| Avanos Medical | 2 | $23 |
| Medartis Inc. | 1 | $22 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Cornerstone Medical Associates, Inc. | 1 | $20 |
| IBSA Pharma Inc. | 1 | $14 |
| Integra Lifesciences Corporation | 1 | $13 |
| Osteomed LLC | 1 | $12 |
| Fidia Pharma USA Inc. | 1 | $9 |
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$964
- DJO SURGICAL$256
- PROCARE$171
- WaveWriter Alpha Prime 16$169
- AEQUALIS ASCEND FLEX$160
- TRITANIUM$106
- INSIGNIA$106
How this compares
$4,374 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| Diclofenac Sodium | 28 | $1,840 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 46 | $439 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $406 |
| Celecoxib | 12 | $365 |
| Nabumetone | 22 | $252 |
| Ibuprofen | 14 | $84 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Merced
- 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.