Vignesh Alamanda, MD
Adult Reconstructive Orthopaedic Surgery · Reston, VANPI 1043620628
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,765 of the $5,539 with a category attached, or 68.0%. 8 manufacturers reported payments, led by Stryker at 49.1% of the total. Reporting peaked in 2022 at $2,069 and has fallen 61.3% since, to $800 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in VA, where the typical reported total is $8,085.
Across 56 payments — averaging $98.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Smith+Nephew$2K
- Zimmer Biomet$375
- Medtronic$178
- Orthalign Inc$98
- Trilliant Surgical LLC.$65
- plus $59 from 2 others
What the payments were for
- Travel & lodging$1,77432%
- Food & beverage$3,76568%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 40 | $2,722 |
| Smith+Nephew | 8 | $2,042 |
| Zimmer Biomet | 3 | $375 |
| Medtronic | 1 | $178 |
| Orthalign Inc | 1 | $98 |
| Trilliant Surgical LLC. | 1 | $65 |
| Supreme Orthopedic Systems, LLC | 1 | $50 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- Journey II$2,197
- REDAPT$1,663
- REAL INTELLIGENCE$1,379
- Legion Revision$1,243
- Tandem$1,243
- MAKO$944
- VISIONAIRE$420
- Legion$420
- ORTHOMAP$349
- AQUAMANTYS$178
- TAPESTRY$141
- 1788$131
- OR3O Dual Mobility$130
- POLARSTEM$130
- RI.HIP NAVIGATION$130
- INSIGNIA$127
- Persona Revision$118
- Healthloop$117
- CORI$114
How this compares
$5,539 in reported general payments places this provider in the 40th percentile of 58 adult reconstructive orthopaedic surgery providers in Virginia.
See all adult reconstructive orthopaedic surgery 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 |
|---|---|---|
| Methylprednisolone | 63 | $522 |
| Meloxicam | 139 | $306 |
| Celecoxib | 16 | $285 |
| Diclofenac Sodium | 15 | $78 |
| Amoxicillin | 20 | $7 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Reston
- Nitin GoyalArlington$81.5M
- William HamiltonAlexandria$9.3M
- Charles EnghArlington$5.5M
- James BrowneCharlottesville$4.8M
- Kevin FrickaAlexandria$773K
- Anthony CarterNewport News$521K
- John CardeaRichmond$141K
- Andrew NeviaserMc Lean$136K
- Robert SershonArlington$94K
- Ian DuensingCharlottesville$83K
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.