Rishi Thakral, MD
Adult Reconstructive Orthopaedic Surgery · Oklahoma City, OKNPI 1033476809
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,152 of the $8,542 with a category attached, or 72.0%. 15 manufacturers reported payments, led by Stryker at 46.5% of the total. 2025 is the largest year on record at $3,022, 5.0 times the $608 reported in 2019.
Across 134 payments — averaging $63.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Medacta USA, Inc.$2K
- Smith+Nephew$742
- Total Joint Orthopedics, Inc.$568
- Zimmer Biomet$333
- Johnson & Johnson$287
- plus $817 from 9 others
What the payments were for
- Travel & lodging$2,26226%
- Food & beverage$6,15272%
- Education$1292%
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 | 81 | $3,971 |
| Medacta USA, Inc. | 13 | $1,824 |
| Smith+Nephew | 15 | $742 |
| Total Joint Orthopedics, Inc. | 6 | $568 |
| Zimmer Biomet | 5 | $333 |
| Johnson & Johnson | 3 | $287 |
| Davol Inc. | 2 | $240 |
| Bone Support Inc. | 1 | $134 |
| Heron Therapeutics, Inc. | 1 | $117 |
| Orthofix Medical, Inc. | 2 | $89 |
| Restor3d, Inc. | 1 | $88 |
| Omnilife Science, Inc | 1 | $60 |
| Orthalign Inc | 1 | $44 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Vertex | 1 | $22 |
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$1,746
- GMK Sphere Revision System$1,268
- Journey II$444
- GMK SPHERE$261
- REDAPT$222
- REAL INTELLIGENCE$222
- GMRS$165
- Persona$149
- CERAMENTBONE VOID FILLER$134
- CERAMENT G$134
- TRIATHLON$128
- ATTUNE$123
- Zynrelef$117
- Walter$103
How this compares
Too few adult reconstructive orthopaedic surgery providers in Oklahomato place this figure against a meaningful peer group, so we don't.
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 | 61 | $1,455 |
| Doxycycline Monohydrate | 14 | $824 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 58 | $650 |
| Meloxicam | 89 | $269 |
| Cephalexin | 15 | $186 |
| Celecoxib | 22 | $162 |
| Cyclobenzaprine Hcl | 31 | $154 |
| Methocarbamol | 21 | $92 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Oklahoma City
- Paul JacobOklahoma City$822K
- Corey PonderOklahoma City$291K
- Kyle McGivernOklahoma City$19K
- Jacob HaynesOklahoma City$17K
- John TompkinsOklahoma City$450
- Scott DunitzTulsa$186K
- Zackary BurrowTulsa$17K
- James SlaterTulsa$7K
- Ronald LabuttiTulsa$6K
- Christian LuessenhopTulsa$4K
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.