Todd Borus, MD
Orthopaedic Surgery · Vancouver, WANPI 1700858651
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $250,750 of the $357,167 with a category attached, or 70.2%. Stryker accounts for 82.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $133,836 and has fallen 77.4% since, to $30,250 in 2025. Among orthopaedic surgery clinicians in WA 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 254 payments — averaging $1406.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$294K
- Globus Medical$31K
- Nextstep Arthropedix, LLC$31K
- Johnson & Johnson$446
- Davol Inc.$298
- Vertex$125
- plus $203 from 3 others
Across 13 payments — averaging $2725.56 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.
- Stryker$35K
Across 5 payments — averaging $21,197 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$106K
What the payments were for
- Royalty or licence$29,2528%
- Consulting fees$250,75070%
- Speaking & faculty fees$7,2002%
- Travel & lodging$61,88017%
- Food & beverage$8,0852%
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 |
|---|---|---|
| Stryker | 213 | $294,159 |
| Globus Medical | 25 | $31,433 |
| Nextstep Arthropedix, LLC | 4 | $30,503 |
| Johnson & Johnson | 4 | $446 |
| Davol Inc. | 3 | $298 |
| Vertex | 1 | $125 |
| Pacira Pharmaceuticals Incorporated | 1 | $117 |
| Avanos Medical | 2 | $50 |
| Zimmer Biomet | 1 | $36 |
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.
- MAKO$288,161
- iNSitu Hip System$30,434
- Verasense$19,000
- ExcelsiusGPS Robotic Navigation System$14,084
- Onvoy$12,600
- MOTIONSENSE DIGITAL GONIOMETER$9,500
- Legacy Stelkast Knee$3,406
- TRIATHLON$2,838
- Excelsius - GPS$891
- ATTUNE$358
- ACCOLADE$318
- Provident II Hip System$284
- Genflex2 Total Knee System$284
- AEQUALIS$198
- ARISTA AH FLEXITIP$132
- JOURNAVX$125
- Iovera$117
How this compares
$357,167 in reported general payments places this provider in the 95th percentile of 495 orthopaedic surgery providers in Washington.
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 | 125 | $2,202 |
| Mupirocin | 88 | $621 |
| Cephalexin | 263 | $539 |
| Ondansetron OdtOndansetron | 78 | $399 |
| Oxycodone Hcl | 49 | $251 |
| Dexamethasone | 52 | $176 |
| Hydromorphone Hcl | 33 | $174 |
| Clindamycin Hcl | 34 | $53 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Vancouver
- William BarrettRenton$7.7M
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Tim LovellSpokane$1.8M
- Timothy AltonRenton$1.5M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
- Richard WilliamsonMount Vernon$1.1M
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.