Ryan Miyamoto, MD
Sports Medicine · Fairfax, VANPI 1497923288
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (32.9%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 19.0%. Reporting peaked in 2022 at $7,842 and has fallen 76.8% since, to $1,816 in 2025.
Across 146 payments — averaging $132.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$4K
- Smith+Nephew$3K
- Supreme Orthopedic Systems, LLC$3K
- Arthrex$3K
- Zimmer Biomet$2K
- Stryker$2K
- plus $2K from 17 others
Across 2 payments — averaging $1116.25 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Orthofix Medical, Inc.$2K
What the payments were for
- Consulting fees$3,64319%
- Speaking & faculty fees$1,2506%
- Travel & lodging$4,25922%
- Food & beverage$6,34933%
- Education$3,46518%
- Other$3182%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 5 | $3,655 |
| Smith+Nephew | 30 | $3,472 |
| Supreme Orthopedic Systems, LLC | 12 | $2,966 |
| Arthrex | 4 | $2,710 |
| Zimmer Biomet | 17 | $2,450 |
| Stryker(2 entities) | 29 | $2,320 |
| Pacira Therapeutics, Inc. | 13 | $403 |
| Integra Lifesciences Corporation | 4 | $332 |
| Amgen(2 entities) | 13 | $319 |
| Avanos Medical | 1 | $140 |
| E.r. Squibb & Sons, L.L.C. | 1 | $97 |
| DJO, LLC | 1 | $96 |
| Johnson & Johnson | 2 | $58 |
| Pacira Pharmaceuticals Incorporated | 2 | $49 |
| Fidia Pharma USA Inc. | 3 | $46 |
| Bioventus LLC | 2 | $42 |
| Ossio Inc | 1 | $32 |
| Linvatec Corporation | 1 | $20 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| Dynasplint Systems Inc. | 1 | $20 |
| Ferring Pharmaceuticals Inc. | 1 | $14 |
| Pfizer | 1 | $13 |
| Abbott | 1 | $11 |
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.
- MICRORAPTOR$2,814
- Q-FIX$2,505
- Healicoil$1,407
- Ultrabraid$1,407
- REUNION$925
- Spinal-Stim$705
- Comprehensive Shoulder System$336
- INSPACE$298
- Comprehensive Reverse$273
- AEQUALIS PERFORM$170
- CYTAL$159
- CAP-FIX$149
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$144
- GENERATOR$140
- PICO$125
- RENASYS TOUCH$125
- KRYSTEXXA$118
- COMPREHENSIVE$114
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS$112
- SPIDER/2$103
How this compares
$19,284 in reported general payments places this provider in the 75th percentile of 171 sports medicine providers in Virginia.
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 |
|---|---|---|
| Diclofenac Sodium | 28 | $337 |
| Methylprednisolone | 35 | $284 |
| Cyclobenzaprine Hcl | 19 | $167 |
| Tramadol Hcl | 22 | $64 |
| Gabapentin | 11 | $62 |
| Meloxicam | 41 | $31 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Fairfax
- Brandon BryantFairfax$290K
- Robin WestFairfax$83K
- Michael FoxFairfax$38K
- Courtney QuinnFairfax$13K
- David DiduchCharlottesville$3.8M
- Thorp DavisMechanicsville$3M
- Stephen BrockmeierCharlottesville$2.6M
- William NordtRichmond$2.6M
- Justin GriffinVirginia Beach$1.5M
- Brian WernerCharlottesville$1.2M
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.