Ryan Roubion, MD
Orthopaedic Surgery · Metairie, LANPI 1154862456
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (44.7%), grants and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Smith+Nephew at 42.5% of the total. Reporting peaked in 2022 at $32,467 and has fallen 96.1% since, to $1,257 in 2025. Among orthopaedic surgery clinicians in LA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 102 payments — averaging $469.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$20K
- Arthrex$20K
- Stryker$5K
- ALON Medical Technology$1K
- Biorez, Inc.$257
- Acera Surgical, Inc.$176
- plus $781 from 18 others
What the payments were for
- Grants$20,00042%
- Travel & lodging$1,9794%
- Food & beverage$4,5129%
- Education$21,40045%
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 | 6 | $20,366 |
| Arthrex | 1 | $20,000 |
| Stryker | 61 | $5,062 |
| ALON Medical Technology | 2 | $1,249 |
| Biorez, Inc. | 2 | $257 |
| Acera Surgical, Inc. | 3 | $176 |
| Heron Therapeutics, Inc. | 2 | $148 |
| Medacta USA, Inc. | 3 | $83 |
| Virtus Pharmaceuticals LLC | 3 | $67 |
| Avanos Medical | 1 | $57 |
| Bioventus LLC | 2 | $56 |
| Medtronic | 2 | $52 |
| Fidia Pharma USA Inc. | 1 | $43 |
| Ferring Pharmaceuticals Inc. | 2 | $41 |
| Pacira Pharmaceuticals Incorporated | 2 | $41 |
| Anika Therapeutics, Inc. | 1 | $28 |
| Johnson & Johnson | 1 | $25 |
| Nalu Medical, Inc. | 1 | $24 |
| Curonix LLC | 1 | $24 |
| Vericel Corporation | 1 | $23 |
| Innovation Technologies Inc | 1 | $23 |
| Heraeus Medical, LLC. | 1 | $21 |
| Vertex | 1 | $15 |
| Sonex Health, Inc. | 1 | $10 |
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.
- SALVATION$1,596
- MAKO$706
- BioBrace 23mm$257
- BioBrace 5mm$257
- INSPACE$228
- NANOTACK FLEX$175
- Bone Anchors with Arthroscopic Delivery System$152
- MESA SMALL STATURE SPINAL SYSTEM$152
- NA$151
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$151
- GAMMA$146
- TRIATHLON$146
- Zynrelef$125
- Restrata Wound Matrix$108
How this compares
$47,891 in reported general payments places this provider in the 90th percentile of 286 orthopaedic surgery providers in Louisiana.
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 |
|---|---|---|
| Methylprednisolone | 29 | $210 |
| Celecoxib | 15 | $199 |
| Meloxicam | 74 | $159 |
| Gabapentin | 15 | $99 |
| Cyclobenzaprine Hcl | 27 | $82 |
| Tramadol Hcl | 16 | $47 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Metairie
- Ralph JuniusMetairie$158K
- Keith MelanconMetairie$27K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
- Kevin McCarthyBaton Rouge$594K
- Timmothy RandellAlexandria$498K
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.