Vladimir Alexander, MD
Orthopaedic Surgery · Largo, FLNPI 1417990862
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $129,542 of the $135,558 with a category attached, or 95.6%. Ortho Development Corporation accounts for 95.6% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2019 at $40,691 and has fallen 74.2% since, to $10,509 in 2025. Among orthopaedic surgery clinicians in FL 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 166 payments — averaging $816.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Development Corporation$130K
- Stryker$3K
- Smith+Nephew$1K
- Zimmer Biomet$497
- Arthrex$268
- Coastal Medical Technologies LLC$213
- plus $932 from 20 others
What the payments were for
- Royalty or licence$129,54296%
- Travel & lodging$1,9521%
- Food & beverage$4,0643%
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 |
|---|---|---|
| Ortho Development Corporation | 85 | $129,581 |
| Stryker(2 entities) | 18 | $3,033 |
| Smith+Nephew | 15 | $1,035 |
| Zimmer Biomet | 4 | $497 |
| Arthrex | 2 | $268 |
| Coastal Medical Technologies LLC | 2 | $213 |
| Globus Medical | 5 | $168 |
| Johnson & Johnson | 4 | $128 |
| Ferring Pharmaceuticals Inc. | 5 | $91 |
| Organogenesis Inc. | 2 | $91 |
| Integra Lifesciences Corporation | 2 | $73 |
| Theragen, Inc. | 3 | $50 |
| Maxx Orthopedics, Inc. | 1 | $44 |
| Heraeus Medical, LLC. | 3 | $41 |
| MVP Orthopedics Inc | 1 | $41 |
| Amgen | 2 | $34 |
| Vericel Corporation | 1 | $25 |
| Pacira Therapeutics, Inc. | 1 | $21 |
| Acumed LLC | 1 | $20 |
| Orthofix Medical, Inc. | 2 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Arthrosurface Incorporated | 1 | $17 |
| Convatec Inc. | 1 | $16 |
| Fidia Pharma USA Inc. | 1 | $15 |
| Bioventus LLC | 1 | $13 |
| Electronic Waveform Lab, Inc. | 2 | $11 |
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.
- Escalade$67,050
- Escalade Acetabular System$62,492
- INSPACE$791
- PROCINCH$739
- REAL INTELLIGENCE$706
- MAKO$394
- AEQUALIS PERFORM$315
- mymobility Platform$257
- BIRMINGHAM HIP$233
- ROSA$182
- AEQUALIS PERFORM REVERSED$160
- LATITUDE EV$160
- AEQUALIS FLEX REVIVE$160
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$160
- K-15 PORK$149
- Journey II$146
- Legion$144
- Legion Revision$114
How this compares
$135,558 in reported general payments places this provider in the 90th percentile of 1,263 orthopaedic surgery 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 |
|---|---|---|
| Ondansetron OdtOndansetron | 53 | $600 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $302 |
| Oxycodone Hcl | 50 | $290 |
| Amoxicillin | 67 | $188 |
| Celecoxib | 18 | $185 |
| Meloxicam | 52 | $147 |
| Ibuprofen | 16 | $120 |
| Methylprednisolone | 18 | $115 |
| Tramadol Hcl | 18 | $49 |
| Clindamycin Hcl | 13 | $23 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Largo
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.