Payment overview · 2025
General Payments
$3,360.46
80 reported records · 16 companies
Healthcare provider profile · identity verified
Thomas E. Rambacher, DPM
Podiatric Medicine & Surgery Service Providers|Podiatrist · MISSION VIEJO, CA · NPI 1295791838
Verified facts
What the public records show
CMS Open Payments records show Thomas E. Rambacher, DPM received $3,360.46 in general payments during 2025 across 80 reported records.
Stryker Corporation accounted for 44.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 34 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Stryker Corporation | Unresolved — no canonical attribution shown | $1,494.10 | 44.5% | 39 | 2025 |
| TREACE MEDICAL CONCEPTS, INC. | Unresolved — no canonical attribution shown | $402.43 | 12.0% | 7 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $319.13 | 9.5% | 5 | 2025 |
| BIOTISSUE HOLDINGS INC. | Unresolved — no canonical attribution shown | $261.20 | 7.8% | 5 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $181.18 | 5.4% | 8 | 2025 |
| Orthofix Medical, Inc. | Unresolved — no canonical attribution shown | $177.67 | 5.3% | 2 | 2025 |
| Advanced Oxygen Therapy Inc. | Unresolved — no canonical attribution shown | $155.05 | 4.6% | 2 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $96.46 | 2.9% | 3 | 2025 |
| BioWound Solutions, Inc. | Unresolved — no canonical attribution shown | $77.89 | 2.3% | 2 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $40.00 | 1.2% | 1 | 2025 |
| Access Pro Medical, LLC | Unresolved — no canonical attribution shown | $32.99 | 1.0% | 1 | 2025 |
| PolyNovo North America LLC | Unresolved — no canonical attribution shown | $30.68 | 0.9% | 1 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $25.65 | 0.8% | 1 | 2025 |
| Linvatec Corporation | Unresolved — no canonical attribution shown | $25.19 | 0.8% | 1 | 2025 |
| Becton, Dickinson and Company | Unresolved — no canonical attribution shown | $23.84 | 0.7% | 1 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $17.00 | 0.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,360.46 | 80 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| PROSTEP Normalized: prostep |
Device | Stryker Corporation | $542.02 | 22 | 2025 |
Source payment records
|
|||||
| TMC NANOPLASTY SYSTEM Normalized: tmc nanoplasty system |
Device | TREACE MEDICAL CONCEPTS, INC. | $337.37 | 5 | 2025 |
Source payment records
|
|||||
| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $319.13 | 5 | 2025 |
Source payment records
|
|||||
| CT THROMBECTOMY SYSTEM KIT Normalized: ct thrombectomy system kit |
Device | Stryker Corporation | $193.44 | 2 | 2025 |
Source payment records
|
|||||
| FLOWTRIEVER CATHETER, S Normalized: flowtriever catheter s |
Device | Stryker Corporation | $193.44 | 2 | 2025 |
Source payment records
|
|||||
| HOFFMANN Normalized: hoffmann |
Device | Stryker Corporation | $183.78 | 2 | 2025 |
Source payment records
|
|||||
| NUZYRA Normalized: nuzyra |
Drug | Paratek Pharmaceuticals, Inc. | $181.18 | 8 | 2025 |
Source payment records
|
|||||
| PROPHECY Normalized: prophecy |
Device | Stryker Corporation | $173.80 | 1 | 2025 |
Source payment records
|
|||||
| N/A Normalized: n a |
Device | Stryker Corporation | $168.94 | 1 | 2025 |
Source payment records
|
|||||
| PROSTEP MICA Normalized: prostep mica |
Device | Stryker Corporation | $168.94 | 1 | 2025 |
Source payment records
|
|||||
| T2 Normalized: t2 |
Device | Stryker Corporation | $168.94 | 1 | 2025 |
Source payment records
|
|||||
| Topical Oxygen Chamber for extremities Normalized: topical oxygen chamber for extremities |
Device | Advanced Oxygen Therapy Inc. | $155.05 | 2 | 2025 |
Source payment records
|
|||||
| AUGMENT INJECTABLE Normalized: augment injectable |
Device | Stryker Corporation | $106.26 | 4 | 2025 |
Source payment records
|
|||||
| VARIAX Normalized: variax |
Device | Stryker Corporation | $100.00 | 1 | 2025 |
Source payment records
|
|||||
| Physio-Stim Normalized: physio stim |
Device | Orthofix Medical, Inc. | $91.97 | 1 | 2025 |
Source payment records
|
|||||
| CITREFIX Normalized: citrefix |
Device | Stryker Corporation | $90.82 | 4 | 2025 |
Source payment records
|
|||||
| TL-HEX TRUELOK HEXAPOD SYSTEM Normalized: tl hex truelok hexapod system |
Device | Orthofix Medical, Inc. | $85.70 | 1 | 2025 |
Source payment records
|
|||||
| bio-ConneKt Normalized: bio connekt |
Device | BioWound Solutions, Inc. | $77.89 | 2 | 2025 |
Source payment records
|
|||||
| INBONE Normalized: inbone |
Device | Stryker Corporation | $76.26 | 1 | 2025 |
Source payment records
|
|||||
| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $64.76 | 2 | 2025 |
Source payment records
|
|||||
| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $40.00 | 1 | 2025 |
Source payment records
|
|||||
| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $40.00 | 1 | 2025 |
Source payment records
|
|||||
| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $40.00 | 1 | 2025 |
Source payment records
|
|||||
| TMC PSI CUT GUIDE SYSTEM Normalized: tmc psi cut guide system |
Device | TREACE MEDICAL CONCEPTS, INC. | $35.35 | 1 | 2025 |
Source payment records
|
|||||
| MATRIDERM Normalized: matriderm |
Device | Access Pro Medical, LLC | $32.99 | 1 | 2025 |
Source payment records
|
|||||
| NOVOSORB BTM Normalized: novosorb btm |
Device | PolyNovo North America LLC | $30.68 | 1 | 2025 |
Source payment records
|
|||||
| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $25.65 | 1 | 2025 |
Source payment records
|
|||||
| 5MS Normalized: 5ms |
Device | Linvatec Corporation | $25.19 | 1 | 2025 |
Source payment records
|
|||||
| ALLOGRAFT TISSUE Normalized: allograft tissue |
Device | Linvatec Corporation | $25.19 | 1 | 2025 |
Source payment records
|
|||||
| BIOBRACE 23MM Normalized: biobrace 23mm |
Device | Linvatec Corporation | $25.19 | 1 | 2025 |
Source payment records
|
|||||
| Surgiphor Normalized: surgiphor |
Device | Becton, Dickinson and Company | $23.84 | 1 | 2025 |
Source payment records
|
|||||
| ORTHOLOC 3DI Normalized: ortholoc 3di |
Device | Stryker Corporation | $17.40 | 1 | 2025 |
Source payment records
|
|||||
| Bone Anchors with Arthroscopic Delivery System Normalized: bone anchors with arthroscopic delivery system |
Device | Smith+Nephew, Inc. | $17.00 | 1 | 2025 |
Source payment records
|
|||||
| FIXOS Normalized: fixos |
Device | Stryker Corporation | $10.32 | 1 | 2025 |
Source payment records
|
|||||
* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Gentamicin Sulfate | Gentamicin Sulfate | 247 | 165 |
| Diclofenac Sodium | Diclofenac Sodium | 210 | 143 |
| Gabapentin | Gabapentin | 74 | 28 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 64 | 26 |
| Cefdinir | Cefdinir | 54 | 45 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 42 | 31 |
| Amitriptyline Hcl | Amitriptyline Hcl | 28 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 24 | 23 |
| Methylprednisolone | Methylprednisolone | 18 | 14 |
| Ciclopirox | Ciclopirox | 17 | 16 |
| Tramadol Hcl | Tramadol Hcl | 15 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,360.46 · 80 records | Stryker Corporation | 5MS, ALLOGRAFT TISSUE, AUGMENT INJECTABLE, BIOBRACE 23MM, Bone Anchors with Arthroscopic Delivery System, CITREFIX, CT THROMBECTOMY SYSTEM KIT, FIXOS, FLOWTRIEVER CATHETER, S, HOFFMANN, INBONE, Integra, Integra Dermal Regeneration Template, JOURNAVX, KRYSTEXXA, MATRIDERM, N/A, NOVOSORB BTM, NUZYRA, ORTHOLOC 3DI, PRIMATRIX, PROPHECY, PROSTEP, PROSTEP MICA, Physio-Stim, QUTENZA, Surgiphor, T2, TL-HEX TRUELOK HEXAPOD SYSTEM, TMC NANOPLASTY SYSTEM, TMC PSI CUT GUIDE SYSTEM, Topical Oxygen Chamber for extremities, VARIAX, bio-ConneKt | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error