Ryan Dean, MD
Orthopaedic Trauma · San Diego, CANPI 1497251722
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.8%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Pylant Medical at 52.6% of the total. Reporting peaked in 2019 at $5,669 and has fallen 78.7% since, to $1,207 in 2025.
Across 88 payments — averaging $149.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$7K
- Stryker$4K
- Zimmer Biomet$1K
- Axogen$198
- Acumed LLC$84
- Acera Surgical, Inc.$78
- plus $152 from 6 others
What the payments were for
- Travel & lodging$1,96915%
- Food & beverage$4,36833%
- Education$6,79952%
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 |
|---|---|---|
| Pylant Medical | 5 | $6,911 |
| Stryker | 52 | $4,434 |
| Zimmer Biomet | 15 | $1,280 |
| Axogen | 2 | $198 |
| Acumed LLC | 1 | $84 |
| Acera Surgical, Inc. | 4 | $78 |
| Vertex | 3 | $46 |
| Smith+Nephew | 1 | $33 |
| Convatec Inc. | 2 | $26 |
| Elevate Surgical Co | 1 | $17 |
| Merck | 1 | $16 |
| Cornerstone Medical Associates, Inc. | 1 | $15 |
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.
- PRO$1,269
- Affixus$848
- MAKO$514
- GAMMA$391
- T2$318
- AXSOS$312
- T2 ALPHA$298
- PELVIS II$174
- CONEXTIONS TR TENDON REPAIR SYSTEM-IMPLANT MECHANISM$132
- HOFFMANN$132
- AVANCE NERVE GRAFT$127
- AxoGuard Nerve Connector$127
- AxoGuard Nerve Protector$127
- AXOGUARD HA+ NERVE PROTECTOR$127
- AxoGuard Nerve Cap$127
- VARIAX$118
How this compares
$13,136 in reported general payments places this provider in the 55th percentile of 106 orthopaedic trauma 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.
Other orthopaedic trauma in San Diego
- Joseph ElsissySan Diego$58K
- Michelle GosselinSan Diego$26K
- Ryan BeekerSan Diego$9K
- Benjamin WheatleySan Diego$7K
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- John ScolaroOrange$1M
- David LowenbergSan Francisco$788K
- Eric LindvallClovis$609K
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.