Roberto Miki, MD
Hand Surgery · Palmetto Bay, FLNPI 1720286529
Payments from drug & device makers
Across 18 payments — averaging $145.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Akcea Therapeutics, Inc.$2K
- Curonix LLC$394
- Integra Lifesciences Corporation$100
- Boston Scientific$78
- Anika Therapeutics, Inc.$71
- Smith+Nephew$59
- plus $120 from 6 others
What the payments were for
- Speaking & faculty fees$1,80069%
- Travel & lodging$39415%
- Food & beverage$42816%
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 |
|---|---|---|
| Akcea Therapeutics, Inc. | 1 | $1,800 |
| Curonix LLC | 1 | $394 |
| Integra Lifesciences Corporation | 6 | $100 |
| Boston Scientific | 1 | $78 |
| Anika Therapeutics, Inc. | 1 | $71 |
| Smith+Nephew | 2 | $59 |
| Axogen | 1 | $42 |
| Stryker | 1 | $23 |
| Molnlycke Health Care US, LLC | 1 | $17 |
| Arthrex | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
| Checkpoint Surgical, Inc | 1 | $8 |
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
$2,622 in reported general payments places this provider in the 40th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| ProliaDenosumab | 44 | $76,100 |
| Ibuprofen | 112 | $632 |
| Omeprazole | 95 | $432 |
| Cephalexin | 46 | $266 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $225 |
| Alendronate Sodium | 12 | $150 |
| Mupirocin | 15 | $132 |
| Tramadol Hcl | 39 | $130 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $88 |
| Vitamin D2Ergocalciferol (Vitamin D2) | 11 | $79 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Palmetto Bay
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Paul PatersonVero Beach$253K
- Eduardo Gonzalez HernandezCoral Gables$160K
- Justin ZumstegOrlando$133K
- Alexander KrawieckiAventura$116K
- Tosca Kinchelow KulendranMiami Lakes$111K
- Maria-Carolina Orbay AranMiami$108K
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.