Ryan Digiovanni, MD
Adult Reconstructive Orthopaedic Surgery · Orange, CANPI 1720440951
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (47.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Smith+Nephew at 48.5% of the total. Reporting peaked in 2024 at $9,032 and has fallen 85.2% since, to $1,334 in 2025.
Across 63 payments — averaging $406.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Encore Medical, LP$7K
- Stryker$2K
- Think Surgical, Inc.$2K
- Zimmer Biomet$460
- Johnson & Johnson$357
- plus $811 from 7 others
What the payments were for
- Consulting fees$8,60034%
- Travel & lodging$1,3535%
- Food & beverage$3,39713%
- Education$12,27948%
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 |
|---|---|---|
| Smith+Nephew | 8 | $12,424 |
| Encore Medical, LP | 6 | $7,333 |
| Stryker | 22 | $2,245 |
| Think Surgical, Inc. | 1 | $2,000 |
| Zimmer Biomet | 6 | $460 |
| Johnson & Johnson | 5 | $357 |
| Medacta USA, Inc. | 2 | $288 |
| Medical Device Business Services, Inc. | 8 | $192 |
| Goode Surgical Inc | 1 | $118 |
| Orthalign Inc | 1 | $85 |
| Access Pro Medical, LLC | 1 | $61 |
| Intellijoint Surgical Inc. | 1 | $35 |
| BD | 1 | $32 |
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.
- DJO SURGICAL$20,483
- TMINI Miniature Robotic System$2,000
- MAKO$1,425
- REAL INTELLIGENCE$270
- Avenir$184
- GMK SPHERE$173
- HOFFMANN$170
- VARIAX$161
- AEQUALIS$153
- Legion Revision$134
- REDAPT$134
- Kompressor Compression Screw System$134
- NA$116
- ATTUNE$116
- SPHERIKA$115
- mymobility Platform$108
- VIPER$107
- Spine & Trauma 3D Navigation$107
- TRIGEN InterTAN$107
How this compares
$25,629 in reported general payments places this provider in the 65th percentile of 136 adult reconstructive orthopaedic surgery providers in California.
See all adult reconstructive 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 |
|---|---|---|
| Gabapentin | 40 | $555 |
| Cephalexin | 28 | $314 |
| Oxycodone Hcl | 25 | $247 |
| Methocarbamol | 15 | $192 |
| Diclofenac Sodium | 14 | $163 |
| Famotidine | 15 | $129 |
| Meloxicam | 48 | $128 |
| Ibuprofen | 11 | $61 |
| Amoxicillin | 29 | $21 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Orange
- Steven YangOrange$88K
- Harry SkinnerOrange$27K
- Peter HsiueOrange$18K
- Joseph KoresselOrange$16K
- William MaloneyStanford$11.1M
- James CaillouetteNewport Beach$4.8M
- William LongLos Angeles$2.8M
- John DearbornMenlo Park$2.5M
- William Bugbeela Jolla$2.1M
- James HuddlestonStanford$1.5M
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.