Covered recipient · General Payments record
ADAM J MIRARCHI
Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery
General Payments · PY2019–2025
$98,725.87
- Reported across 92 records
- CMS publication 2026-06-30
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Consulting Fee | $14,706.00 | 6 |
| Food and Beverage | $38.57 | 2 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| ACUMED LLC | $14,706.00 | 6 |
| Smith+Nephew, Inc. | $38.57 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (8)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ACUMED LLC | $4,500.00 | 02/12/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940270 | CMS |
| ACUMED LLC | $45.00 | 02/27/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940264 | CMS |
| ACUMED LLC | $225.00 | 02/27/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940266 | CMS |
| ACUMED LLC | $1,836.00 | 02/27/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940268 | CMS |
| ACUMED LLC | $3,600.00 | 05/08/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940260 | CMS |
| ACUMED LLC | $4,500.00 | 07/24/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1238940262 | CMS |
| Smith+Nephew, Inc. | $19.97 | 01/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242209105 | CMS |
| Smith+Nephew, Inc. | $18.60 | 08/07/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242209107 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-06-30
- Program years on this page
- 2019, 2020, 2021, 2022, 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.