Warren Vance, MD
Orthopaedic Surgery · Placerville, CANPI 1932145265
Payments from drug & device makers
What this record shows
This record is dominated by education: $1,200 of the $1,551 with a category attached, or 77.4%. Sequoia Surgical, Inc. accounts for 78.1% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $1,229 and has fallen 92.7% since, to $89 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in CA, where the typical reported total is $2,444.
Across 13 payments — averaging $119.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sequoia Surgical, Inc.$1K
- Zimmer Biomet$126
- Bioventus LLC$57
- Si-bone, Inc.$38
- Stryker$29
- Sanofi-aventis U.S. LLC$28
- plus $61 from 3 others
What the payments were for
- Food & beverage$35123%
- Education$1,20077%
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 |
|---|---|---|
| Sequoia Surgical, Inc. | 2 | $1,212 |
| Zimmer Biomet | 2 | $126 |
| Bioventus LLC | 3 | $57 |
| Si-bone, Inc. | 1 | $38 |
| Stryker | 1 | $29 |
| Sanofi-aventis U.S. LLC | 1 | $28 |
| Vertex | 1 | $23 |
| Zimvie Inc. | 1 | $21 |
| Orthofix Medical, Inc. | 1 | $18 |
How this compares
$1,551 in reported general payments places this provider in the 40th percentile of 1,808 orthopaedic surgery providers in California.
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 |
|---|---|---|
| EliquisApixaban | 15 | $6,681 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 111 | $1,191 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 82 | $781 |
| Meloxicam | 152 | $661 |
| Cefadroxil | 12 | $82 |
| Tramadol Hcl | 33 | $65 |
| Amoxicillin | 24 | $48 |
| Cephalexin | 23 | $40 |
| Clindamycin Hcl | 17 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Placerville
- Bradford HackArcadia$18.3M
- Robert GorabOrange$13.6M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.6M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
- Peter NewtonSan Diego$4.2M
- Sigurd BervenSan Francisco$4.1M
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.