IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RAFAEL SIERRA

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1801875901
CMS profile
308518
Location
ROCHESTER, MN

General Payments · PY2018–2024

$4,353,462.45

  • Reported across 286 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$231,452.71

69 records · 0 disputed

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.

Related groups: Orthopaedic Surgery MN All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $202,875.00 4
Royalty or License $16,919.52 8
Travel and Lodging $10,205.03 29
Food and Beverage $1,453.16 28

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Zimmer Biomet Holdings, Inc. $221,365.64 64
ORTHALIGN INC $9,937.93 3
MEDACTA USA, INC. $149.14 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $282,029.72 42
PY2019 $588,361.71 61
PY2020 $542,648.81 24
PY2021 $603,920.35 35
PY2022 $625,202.08 32
PY2023 $1,479,847.07 23
PY2024 $231,452.71 69

Payment records · PY2024 (69)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
MEDACTA USA, INC. $126.34 09/27/2024 Food and Beverage Undisputed 01/23/2026 1143687256 CMS
MEDACTA USA, INC. $22.80 09/27/2024 Food and Beverage Undisputed 01/23/2026 1143690966 CMS
ORTHALIGN INC $1,312.93 01/19/2024 Travel and Lodging Undisputed 01/23/2026 1126499966 CMS
ORTHALIGN INC $8,250.00 01/19/2024 Consulting Fee Undisputed 01/23/2026 1126499968 CMS
ORTHALIGN INC $375.00 05/03/2024 Consulting Fee Undisputed 01/23/2026 1126499970 CMS
Zimmer Biomet Holdings, Inc. $3,316.37 02/13/2024 Royalty or License Undisputed 01/23/2026 1155017309 CMS
Zimmer Biomet Holdings, Inc. $552.90 02/13/2024 Royalty or License Undisputed 01/23/2026 1155017333 CMS
Zimmer Biomet Holdings, Inc. $3,425.52 05/13/2024 Royalty or License Undisputed 01/23/2026 1155017315 CMS
Zimmer Biomet Holdings, Inc. $736.50 05/13/2024 Royalty or License Undisputed 01/23/2026 1155017329 CMS
Zimmer Biomet Holdings, Inc. $500.00 06/06/2024 Consulting Fee Undisputed 01/23/2026 1155017161 CMS
Zimmer Biomet Holdings, Inc. $35.00 08/01/2024 Travel and Lodging Undisputed 01/23/2026 1155017193 CMS
Zimmer Biomet Holdings, Inc. $668.96 08/01/2024 Travel and Lodging Undisputed 01/23/2026 1155017197 CMS
Zimmer Biomet Holdings, Inc. $35.00 08/01/2024 Travel and Lodging Undisputed 01/23/2026 1155017199 CMS
Zimmer Biomet Holdings, Inc. $66.41 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017247 CMS
Zimmer Biomet Holdings, Inc. $44.27 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017249 CMS
Zimmer Biomet Holdings, Inc. $204.08 08/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017251 CMS
Zimmer Biomet Holdings, Inc. $145.09 08/06/2024 Food and Beverage Undisputed 01/23/2026 1155017253 CMS
Zimmer Biomet Holdings, Inc. $192.66 08/06/2024 Travel and Lodging Undisputed 01/23/2026 1155017255 CMS
Zimmer Biomet Holdings, Inc. $40.00 08/08/2024 Food and Beverage Undisputed 01/23/2026 1155017257 CMS
Zimmer Biomet Holdings, Inc. $50.00 08/08/2024 Food and Beverage Undisputed 01/23/2026 1155017259 CMS
Zimmer Biomet Holdings, Inc. $20.00 08/08/2024 Food and Beverage Undisputed 01/23/2026 1155017261 CMS
Zimmer Biomet Holdings, Inc. $3,491.37 08/12/2024 Royalty or License Undisputed 01/23/2026 1155017321 CMS
Zimmer Biomet Holdings, Inc. $1,601.88 08/12/2024 Royalty or License Undisputed 01/23/2026 1155017335 CMS
Zimmer Biomet Holdings, Inc. $25.00 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1155017201 CMS
Zimmer Biomet Holdings, Inc. $166.96 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1155017203 CMS
Zimmer Biomet Holdings, Inc. $368.29 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1155017215 CMS
Zimmer Biomet Holdings, Inc. $210.15 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1155017227 CMS
Zimmer Biomet Holdings, Inc. $36.63 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1155017213 CMS
Zimmer Biomet Holdings, Inc. $210.15 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1155017229 CMS
Zimmer Biomet Holdings, Inc. $78.00 08/24/2024 Travel and Lodging Undisputed 01/23/2026 1155017211 CMS
Zimmer Biomet Holdings, Inc. $123.38 08/26/2024 Food and Beverage Undisputed 01/23/2026 1155017217 CMS
Zimmer Biomet Holdings, Inc. $653.96 09/08/2024 Travel and Lodging Undisputed 01/23/2026 1155017205 CMS
Zimmer Biomet Holdings, Inc. $35.00 09/08/2024 Travel and Lodging Undisputed 01/23/2026 1155017207 CMS
Zimmer Biomet Holdings, Inc. $45.84 09/09/2024 Food and Beverage Undisputed 01/23/2026 1155017209 CMS
Zimmer Biomet Holdings, Inc. $26.31 09/09/2024 Food and Beverage Undisputed 01/23/2026 1155017219 CMS
Zimmer Biomet Holdings, Inc. $11.63 09/09/2024 Food and Beverage Undisputed 01/23/2026 1155017221 CMS
Zimmer Biomet Holdings, Inc. $390.00 09/09/2024 Travel and Lodging Undisputed 01/23/2026 1155017263 CMS
Zimmer Biomet Holdings, Inc. $15.29 09/10/2024 Food and Beverage Undisputed 01/23/2026 1155017223 CMS
Zimmer Biomet Holdings, Inc. $15.61 09/10/2024 Food and Beverage Undisputed 01/23/2026 1155017225 CMS
Zimmer Biomet Holdings, Inc. $1,211.25 09/10/2024 Travel and Lodging Undisputed 01/23/2026 1155017265 CMS
Zimmer Biomet Holdings, Inc. $60.25 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017231 CMS
Zimmer Biomet Holdings, Inc. $68.72 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017233 CMS
Zimmer Biomet Holdings, Inc. $27.30 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017235 CMS
Zimmer Biomet Holdings, Inc. $39.54 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017237 CMS
Zimmer Biomet Holdings, Inc. $7.28 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017239 CMS
Zimmer Biomet Holdings, Inc. $56.48 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017241 CMS
Zimmer Biomet Holdings, Inc. $29.18 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017243 CMS
Zimmer Biomet Holdings, Inc. $7.03 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017245 CMS
Zimmer Biomet Holdings, Inc. $39.54 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017267 CMS
Zimmer Biomet Holdings, Inc. $68.72 09/11/2024 Food and Beverage Undisputed 01/23/2026 1155017269 CMS
Zimmer Biomet Holdings, Inc. $35.00 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1155017271 CMS
Zimmer Biomet Holdings, Inc. $688.96 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1155017273 CMS
Zimmer Biomet Holdings, Inc. $193,750.00 10/24/2024 Consulting Fee Undisputed 01/23/2026 1155017275 CMS
Zimmer Biomet Holdings, Inc. $815.97 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1155017279 CMS
Zimmer Biomet Holdings, Inc. $195.00 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1155017285 CMS
Zimmer Biomet Holdings, Inc. $1,640.10 10/25/2024 Travel and Lodging Undisputed 01/23/2026 1155017277 CMS
Zimmer Biomet Holdings, Inc. $7.08 10/25/2024 Travel and Lodging Undisputed 01/23/2026 1155017283 CMS
Zimmer Biomet Holdings, Inc. $42.47 10/28/2024 Food and Beverage Undisputed 01/23/2026 1155017301 CMS
Zimmer Biomet Holdings, Inc. $30.39 10/28/2024 Food and Beverage Undisputed 01/23/2026 1155017303 CMS
Zimmer Biomet Holdings, Inc. $3,609.11 11/12/2024 Royalty or License Undisputed 01/23/2026 1155017327 CMS
Zimmer Biomet Holdings, Inc. $185.87 11/12/2024 Royalty or License Undisputed 01/23/2026 1155017331 CMS
Zimmer Biomet Holdings, Inc. $435.70 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017289 CMS
Zimmer Biomet Holdings, Inc. $35.00 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017291 CMS
Zimmer Biomet Holdings, Inc. $203.76 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017293 CMS
Zimmer Biomet Holdings, Inc. $203.76 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1155017299 CMS
Zimmer Biomet Holdings, Inc. $19.07 12/09/2024 Food and Beverage Undisputed 01/23/2026 1155017295 CMS
Zimmer Biomet Holdings, Inc. $21.86 12/09/2024 Food and Beverage Undisputed 01/23/2026 1155017297 CMS
Zimmer Biomet Holdings, Inc. $147.19 12/12/2024 Food and Beverage Undisputed 01/23/2026 1155017305 CMS
Zimmer Biomet Holdings, Inc. $145.85 12/12/2024 Food and Beverage Undisputed 01/23/2026 1155017337 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.

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