Sakthivel Rajan Rajaram Manoharan
Orthopaedic Surgery · Birmingham, ALNPI 1356764765
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Cerapedics Inc. at 27.1% of the total. Reporting peaked in 2021 at $4,606 and has fallen 70.2% since, to $1,375 in 2025.
Across 113 payments — averaging $138.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cerapedics Inc.$4K
- Synthes GmbH$4K
- Medical Device Business Services, Inc.$3K
- Johnson & Johnson$1K
- Stryker$776
- Globus Medical$743
- plus $2K from 21 others
Across 3 payments — averaging $21,821 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.
- Cerapedics Inc.$50K
- Stryker$15K
What the payments were for
- Consulting fees$2,92519%
- Speaking & faculty fees$3,25021%
- Travel & lodging$3,17820%
- Food & beverage$6,22340%
- Education$770%
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 |
|---|---|---|
| Cerapedics Inc. | 15 | $4,246 |
| Synthes GmbH | 5 | $3,700 |
| Medical Device Business Services, Inc. | 1 | $2,925 |
| Johnson & Johnson(2 entities) | 18 | $1,046 |
| Stryker | 11 | $776 |
| Globus Medical(2 entities) | 16 | $743 |
| Medtronic | 13 | $491 |
| Orthofix Medical, Inc. | 8 | $240 |
| Providence Medical Technology, Inc. | 6 | $201 |
| Carlsmed, Inc. | 3 | $163 |
| Innovation Technologies Inc | 1 | $144 |
| Corin USA | 1 | $140 |
| Integra Lifesciences Corporation | 1 | $132 |
| Si-bone, Inc. | 1 | $131 |
| Spineology Inc. | 1 | $126 |
| Surgalign Spine Technologies, Inc. | 1 | $121 |
| Zimmer Biomet | 1 | $72 |
| Ossdsign USA Incorporated | 1 | $43 |
| Wenzel Spine, Inc. | 1 | $42 |
| Curiteva, Inc. | 1 | $36 |
| Kuros Biosciences USA, Inc | 1 | $26 |
| Acera Surgical, Inc. | 1 | $23 |
| Ulrich Medical USA, Inc. | 1 | $22 |
| Prime Surgical, LLC | 1 | $22 |
| Bioventus LLC | 1 | $16 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
| Baxter Healthcare | 1 | $13 |
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.
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$11,847
- AERO$163
- TRIALTIS$146
- Irrisept$144
- CASCADIA INTERBODY SYSTEM$135
- RAVINE LATERAL ACCESS SYSTEM$135
- EVEREST SPINAL SYSTEM$135
- BIOFIX$132
- BIODRESTORE$132
- MEDIHONEY$132
- BIODOPTIX$132
- BIODFACTOR$132
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$126
- Trinity ELITE$125
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$121
- aprevo$113
- ExcelsiusGPS Robotic Navigation System$112
- BRAINLAB$112
- ALIF$105
- XLIF$105
How this compares
$15,653 in reported general payments places this provider in the 80th percentile of 319 orthopaedic surgery providers in Alabama.
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 | 87 | $863 |
| Methocarbamol | 50 | $710 |
| Pregabalin | 32 | $507 |
| Cyclobenzaprine Hcl | 77 | $329 |
| Oxycodone Hcl | 41 | $241 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $187 |
| Tramadol Hcl | 39 | $153 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Birmingham
- Jeffrey DugasBirmingham$11.5M
- Benton EmblomBirmingham$3M
- Herrick SiegelBirmingham$1.2M
- Kenneth MooreBirmingham$342K
- Joseph SherrillBirmingham$221K
- Jonathan QuadeBirmingham$217K
- Ginger BryantBirmingham$209K
- Marcus RothermichBirmingham$207K
- Daniel KimBirmingham$147K
- Eugene BrabstonBirmingham$117K
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.