Ryan Simovitch, MD
Sports Medicine · West Palm Beach, FLNPI 1124048236
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.7%), royalties or licence payments and speaking fees — rather than concentrated in one kind of arrangement. Exactech, Inc. accounts for 71.7% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $271,848, 2.6 times the $103,845 reported in 2019. Among sports medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 529 payments — averaging $1985.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$753K
- Smith+Nephew$176K
- Pacira Pharmaceuticals Incorporated$115K
- Geistlich Pharma, North America, Inc.$3K
- Advita Ortho, LLC$1K
- Arthrex$662
- plus $1K from 10 others
Across 20 payments — averaging $7627.00 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.
- Exactech, Inc.$153K
What the payments were for
- Royalty or licence$357,95734%
- Consulting fees$448,39843%
- Speaking & faculty fees$141,93114%
- Travel & lodging$81,3428%
- Food & beverage$20,0942%
- Education$6300%
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 |
|---|---|---|
| Exactech, Inc. | 240 | $753,001 |
| Smith+Nephew | 183 | $175,670 |
| Pacira Pharmaceuticals Incorporated | 79 | $114,941 |
| Geistlich Pharma, North America, Inc. | 4 | $3,491 |
| Advita Ortho, LLC | 1 | $1,100 |
| Arthrex | 3 | $662 |
| Stryker | 4 | $476 |
| Zimmer Biomet | 4 | $276 |
| FX Shoulder Solutions, Inc | 1 | $180 |
| Catalyst Orthoscience | 1 | $171 |
| Johnson & Johnson | 3 | $163 |
| Integrity Orthopaedics, Inc. | 1 | $102 |
| Medical Device Business Services, Inc. | 2 | $52 |
| Xiros Inc | 1 | $34 |
| Heron Therapeutics, Inc. | 1 | $20 |
| Bioventus LLC | 1 | $14 |
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.
- EQUINOXE$696,053
- EXPAREL$112,702
- Healicoil$58,957
- Bioinductive Implant with Arthroscopic Delivery System - Medium$49,373
- Bone Anchors with Arthroscopic Delivery System$47,162
- Regeneten$29,744
- HEALICOIL REGENESORB$27,500
- Latarjet System$26,797
- MICRORAPTOR REGENESORB$14,563
- Q-FIX$13,487
- REGENESORB$12,938
- EQUINOXE PHX SYSTEM$12,856
- Iovera$11,382
- MICRORAPTOR Knotless Shoulder$10,085
- HEALICOIL Suture Anchor$9,625
- Zilretta$9,070
- Endobutton$8,875
- NOVOSTITCH PRO$6,179
- Accu-pass$6,125
- Fast-Fix 360$5,625
How this compares
$1,050,353 in reported general payments places this provider in the 95th percentile of 402 sports medicine providers in Florida.
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 |
|---|---|---|
| Amoxicillin | 30 | $48 |
| Clindamycin Hcl | 15 | $17 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in West Palm Beach
- Zachary McVickerWest Palm Beach$93K
- Lee KaplanMiami$11.3M
- Patrick SmithNaples$2.9M
- Bruce LevyOrlando$816K
- Gautam YagnikMiami$440K
- Carl DilellaVero Beach$384K
- Adam AnzGulf Breeze$354K
- Stanton LongeneckerJacksonville$330K
- Luga PodestaNaples$206K
- Julianne MunozMiami$149K
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.