Ryan Labelle
Orthopaedic Surgery · Portsmouth, NHNPI 1124521729
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,661 of the $4,206 with a category attached, or 87.0%. 15 manufacturers reported payments, led by Pacira Pharmaceuticals Incorporated at 28.8% of the total.
Across 45 payments — averaging $93.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$1K
- Orthofix Medical, Inc.$499
- Pacira Therapeutics, Inc.$392
- Smith+Nephew$376
- Bioventus LLC$325
- Innovation Technologies Inc$321
- plus $1K from 9 others
What the payments were for
- Travel & lodging$54613%
- Food & beverage$3,66187%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 11 | $1,212 |
| Orthofix Medical, Inc. | 12 | $499 |
| Pacira Therapeutics, Inc. | 5 | $392 |
| Smith+Nephew | 3 | $376 |
| Bioventus LLC | 2 | $325 |
| Innovation Technologies Inc | 2 | $321 |
| Johnson & Johnson(2 entities) | 2 | $248 |
| Miach Orthopaedics, Inc. | 1 | $156 |
| Stryker | 1 | $135 |
| Sonex Health, Inc. | 1 | $132 |
| Acumed LLC | 1 | $121 |
| Heraeus Medical, LLC. | 1 | $107 |
| Zimmer Biomet | 1 | $106 |
| Medical Device Business Services, Inc. | 1 | $57 |
| Si-bone, Inc. | 1 | $19 |
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.
- IOVERA SYSTEM$662
- Irrisept$321
- Stimrouter Implantable Kit$178
- EVOS$161
- Durolane$147
- NA$146
- MOTIONSENSE DIGITAL GONIOMETER$135
- Sx-One Microknife$132
- Iovera$123
- Acu-Loc Wrist Plating System$121
- Fibula Rod System$121
- Vivorte Fortera$121
- EXPAREL$119
- RENASYS GO v2 HOME$119
- RENASYS TOUCH$119
- PICO 7$119
- Physio-Stim$110
- PALACOS$107
- SCP Bone Substitute$106
- Gel One$106
How this compares
$4,206 in reported general payments places this provider in the 60th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Celecoxib | 20 | $269 |
| Oxycodone Hcl | 24 | $82 |
| Prednisone | 17 | $57 |
| Meloxicam | 23 | $44 |
| Tramadol Hcl | 21 | $37 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Portsmouth
- Akhilesh SastryPortsmouth$966K
- Mayo NoerdlingerPortsmouth$529K
- Michael MorwoodPortsmouth$506K
- Theodore GuildPortsmouth$4K
- Brian BarryPortsmouth$4K
- William SutherlandPortsmouth$4K
- John-Erik BellLebanon$528K
- Ira ParsonsSomersworth$245K
- Alexander OremLebanon$215K
- David RichardsNashua$122K
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.