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

JOSHUA DAVID PICHE

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1992297766
CMS profile
5278091
Location
ANN ARBOR, MI

General Payments · PY2018–2024

$9,008.27

  • Reported across 45 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$4,410.48

29 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.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $2,870.00 13
Food and Beverage $1,540.48 16

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Globus Medical, Inc. $2,328.48 18
Synthes GmbH $1,116.17 2
Medtronic, Inc. $424.57 3
icotec Medical Inc. $155.04 1
Bioventus LLC $150.00 1
Augmedics Inc. $127.33 1
Orthofix Medical, Inc. $48.00 1
Pinnacle, Inc $45.26 1
Elite Orthopedics, LLC $15.63 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,039.22 2
PY2022 $1,694.46 6
PY2023 $1,864.11 8
PY2024 $4,410.48 29

Payment records · PY2024 (29)

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

Program year 2024 201820222023 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
Augmedics Inc. $127.33 09/03/2024 Food and Beverage Undisputed 01/23/2026 1140892585 CMS
Bioventus LLC $150.00 09/07/2024 Food and Beverage Undisputed 01/23/2026 1137447289 CMS
Elite Orthopedics, Llc $15.63 08/30/2024 Food and Beverage Undisputed 01/23/2026 1150022826 CMS
Globus Medical, Inc. $54.32 05/15/2024 Food and Beverage Undisputed 01/23/2026 1145001560 CMS
Globus Medical, Inc. $105.19 06/07/2024 Food and Beverage Undisputed 01/23/2026 1145001540 CMS
Globus Medical, Inc. $143.38 06/27/2024 Travel and Lodging Undisputed 01/23/2026 1145001704 CMS
Globus Medical, Inc. $170.03 08/29/2024 Food and Beverage Undisputed 01/23/2026 1145001640 CMS
Globus Medical, Inc. $45.36 09/02/2024 Food and Beverage Undisputed 01/23/2026 1145001642 CMS
Globus Medical, Inc. $13.30 09/02/2024 Food and Beverage Undisputed 01/23/2026 1145001644 CMS
Globus Medical, Inc. $366.31 09/16/2024 Travel and Lodging Undisputed 01/23/2026 1145001674 CMS
Globus Medical, Inc. $10.00 09/16/2024 Travel and Lodging Undisputed 01/23/2026 1145001678 CMS
Globus Medical, Inc. $344.83 09/16/2024 Travel and Lodging Undisputed 01/23/2026 1145001684 CMS
Globus Medical, Inc. $402.35 09/18/2024 Travel and Lodging Undisputed 01/23/2026 1145001676 CMS
Globus Medical, Inc. $27.00 09/18/2024 Travel and Lodging Undisputed 01/23/2026 1145001680 CMS
Globus Medical, Inc. $172.20 09/26/2024 Food and Beverage Undisputed 01/23/2026 1145001534 CMS
Globus Medical, Inc. $32.50 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1145001588 CMS
Globus Medical, Inc. $93.33 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1145001712 CMS
Globus Medical, Inc. $14.25 09/27/2024 Food and Beverage Undisputed 01/23/2026 1145001582 CMS
Globus Medical, Inc. $194.70 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1145001682 CMS
Globus Medical, Inc. $88.33 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1145001708 CMS
Globus Medical, Inc. $51.10 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1145001710 CMS
icotec Medical Inc. $155.04 07/25/2024 Food and Beverage Undisputed 01/23/2026 1151423289 CMS
Medtronic, Inc. $199.49 01/11/2024 Food and Beverage Undisputed 01/23/2026 1119582025 CMS
Medtronic, Inc. $172.28 08/28/2024 Food and Beverage Undisputed 01/23/2026 1119582027 CMS
Medtronic, Inc. $52.80 09/06/2024 Food and Beverage Undisputed 01/23/2026 1119582029 CMS
Orthofix Medical, Inc. $48.00 09/02/2024 Food and Beverage Undisputed 01/23/2026 1127601610 CMS
Pinnacle, Inc $45.26 09/13/2024 Food and Beverage Undisputed 01/23/2026 1126997896 CMS
Synthes GmbH $622.53 04/14/2024 Travel and Lodging Undisputed 01/23/2026 1077578718 CMS
Synthes GmbH $493.64 04/14/2024 Travel and Lodging Undisputed 01/23/2026 1077578742 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , 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.

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.