Zein El-Zein, MD
Orthopaedic Surgery · Taylor, MINPI 1619499449
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (41.1%), education and food and beverage — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Pinnacle, Inc at 40.3% of the total. Reporting peaked in 2023 at $4,008 and has fallen 69.2% since, to $1,233 in 2025.
Across 111 payments — averaging $158.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$7K
- Arthrex$3K
- Smith+Nephew$3K
- Medical Device Business Services, Inc.$2K
- Stryker$2K
- Trimed, Inc.$337
- plus $1K from 11 others
What the payments were for
- Grants$4252%
- Travel & lodging$7,22941%
- Food & beverage$4,02623%
- Education$5,90134%
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 |
|---|---|---|
| Pinnacle, Inc | 19 | $7,092 |
| Arthrex | 32 | $2,772 |
| Smith+Nephew | 13 | $2,529 |
| Medical Device Business Services, Inc. | 10 | $1,773 |
| Stryker | 18 | $1,602 |
| Trimed, Inc. | 1 | $337 |
| Paragon 28, Inc. | 4 | $294 |
| Zimmer Biomet | 2 | $293 |
| Johnson & Johnson | 4 | $210 |
| Orthofix Medical, Inc. | 1 | $176 |
| Integra Lifesciences Corporation | 1 | $139 |
| Pacira Therapeutics, Inc. | 1 | $105 |
| Medtronic | 1 | $86 |
| Surgalign Spine Technologies, Inc. | 1 | $72 |
| Sanara Medtech Inc. | 1 | $54 |
| Acumed LLC | 1 | $28 |
| Biotissue Holdings Inc. | 1 | $19 |
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.
- Cadence$1,114
- EVOS MINI$1,008
- EVOS$1,008
- Taylor Spatial Frame$1,008
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$780
- INTEGRA$417
- SPATIAL FRAME$263
- TrueLok$176
- APEX 3D$173
- INBONE$170
- ACCOLADE$156
- MAKO$156
- DVR Crosslock Plates/Screws/Pegs$148
- DVR Anatomic Kickstand$145
- A.L.P.S.$145
- INTEGRA DERMAL REGENERATION TEMPLATE$139
- PRIMATRIX$139
- GMRS$122
- EXETER$122
- EVEREST SPINAL SYSTEM$109
How this compares
$17,581 in reported general payments places this provider in the 80th percentile of 829 orthopaedic surgery providers in Michigan.
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.
Other orthopaedic surgery in Taylor
- Alexander MartusiewiczTaylor$87K
- Asheesh BediAnn Arbor$9.4M
- Jerome WiaterBeverly Hills$3.9M
- Mark PintoChelsea$3.2M
- Kyle AndersonBingham Farms$3.1M
- Stephen BartolDetroit$2.6M
- Jad KhalilSouthfield$1.9M
- Jeffrey FischgrundSouthfield$1.8M
- John BlahaAnn Arbor$1.5M
- David MarkelSouthfield$1.5M
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.