Rivka Ihejirika Lomedico
Orthopaedic Surgery · Boston, MANPI 1487002614
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $52,636 of the $82,662 with a category attached, or 63.7%. Amgen accounts for 83.2% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $71,068, more than ten times the $13 reported in 2021. 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 189 payments — averaging $437.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$69K
- Globus Medical$7K
- Medical Device Business Services, Inc.$3K
- Stryker$2K
- Centinel Spine, LLC$659
- Cornerstone Medical Associates, Inc.$305
- plus $701 from 6 others
What the payments were for
- Consulting fees$1,8602%
- Speaking & faculty fees$52,63664%
- Travel & lodging$21,21426%
- Food & beverage$6,9398%
- Education$150%
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 |
|---|---|---|
| Amgen | 81 | $68,795 |
| Globus Medical(2 entities) | 54 | $6,804 |
| Medical Device Business Services, Inc. | 16 | $3,317 |
| Stryker | 17 | $2,081 |
| Centinel Spine, LLC | 2 | $659 |
| Cornerstone Medical Associates, Inc. | 4 | $305 |
| Johnson & Johnson | 3 | $301 |
| Alphatec Spine, Inc | 1 | $157 |
| Radius Health, Inc. | 4 | $99 |
| Almatica Pharma LLC | 4 | $85 |
| Boston Scientific | 2 | $46 |
| Medtronic | 1 | $13 |
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.
- EVENITY$67,932
- XLIF$3,600
- EVEREST SPINAL SYSTEM$1,367
- TLIF$1,211
- Teligen$1,052
- PRODISC L$659
- YUKON OCT SPINAL SYSTEM$526
- NA$449
- Modulus$247
- ProLift$174
- Solus ALIF$157
- VA-LCP$150
- MOTOBAND$150
- RELINE$142
- TLX$142
- Expedium VERSE$136
- SYMPHONY$136
- Prolia$113
- Excelsius - GPS$112
- Excelsius3D Imaging System$111
How this compares
$82,662 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 |
|---|---|---|
| TymlosAbaloparatide | 23 | $57,621 |
| Teriparatide | 25 | $55,391 |
| Gabapentin | 137 | $692 |
| Celecoxib | 24 | $580 |
| Duloxetine Hcl | 28 | $406 |
| Diclofenac Sodium | 43 | $388 |
| Tramadol Hcl | 55 | $370 |
| Meloxicam | 97 | $310 |
| Cyclobenzaprine Hcl | 25 | $278 |
| Oxycodone Hcl | 43 | $272 |
| Pregabalin | 12 | $213 |
| Methylprednisolone | 30 | $155 |
| Diazepam | 35 | $60 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Radius Health, Inc.Tymlos | $99 | $57,62123 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 542 orthopaedic surgery providers in Massachusetts.
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.