Total Payments
$11,202
2024 Payments
$5,881
Companies
22
Transactions
105
Medicare Patients
7,421
Medicare Billing
$1.1M

Payment Breakdown by Category

Travel$6,653 (59.4%)
Food & Beverage$4,504 (40.2%)
Education$44.70 (0.4%)

Payments by Nature

Nature of Payment Amount Transactions Share
Travel and Lodging $6,653 27 59.4%
Food and Beverage $4,504 76 40.2%
Education $44.70 2 0.4%

Top Paying Companies

Company Total Records Latest Year
Smith+Nephew, Inc. $3,688 19 $0 (2024)
Zimmer Biomet Holdings, Inc. $3,052 40 $0 (2021)
Stryker Corporation $2,325 11 $0 (2024)
TriMed, Inc. $645.33 1 $0 (2018)
Medtronic USA, Inc. $437.19 5 $0 (2018)
DePuy Synthes Sales Inc. $402.01 4 $0 (2023)
Edwards Lifesciences Corporation $132.57 1 $0 (2022)
Surgical Specialties Corporation (US), Inc. $104.03 1 $0 (2019)
Bioventus LLC $94.42 4 $0 (2022)
Flexion Therapeutics, Inc. $56.23 3 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $5,881 32 Smith+Nephew, Inc. ($3,483)
2023 $70.23 2 DePuy Synthes Sales Inc. ($47.50)
2022 $174.15 3 Edwards Lifesciences Corporation ($132.57)
2021 $141.88 8 Horizon Therapeutics plc ($48.61)
2020 $56.73 4 Bioventus LLC ($18.46)
2019 $1,239 16 Zimmer Biomet Holdings, Inc. ($725.72)
2018 $1,441 11 Zimmer Biomet Holdings, Inc. ($772.59)
2017 $2,197 29 Zimmer Biomet Holdings, Inc. ($1,538)

All Payment Transactions

105 individual payment records from CMS Open Payments — Page 1 of 5

Date Company Product Nature Form Amount Type
11/16/2024 Stryker Corporation MAKO (Device) Food and Beverage In-kind items and services $25.01 General
Category: KNEES, HIPS
10/25/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II Food and Beverage In-kind items and services $107.08 General
Category: Recon Robotics
10/24/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II Travel and Lodging In-kind items and services $541.94 General
Category: Recon Robotics
10/24/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II Travel and Lodging In-kind items and services $243.32 General
Category: Recon Robotics
10/24/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device) Food and Beverage In-kind items and services $149.15 General
Category: Recon Robotics
10/24/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II Travel and Lodging In-kind items and services $125.73 General
Category: Recon Robotics
10/24/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II Food and Beverage In-kind items and services $91.69 General
Category: Recon Robotics
10/23/2024 Smith+Nephew, Inc. JOURNEY II (Device) Travel and Lodging In-kind items and services $435.42 General
Category: Recon Knees
09/13/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device) Food and Beverage In-kind items and services $5.86 General
Category: Recon Robotics
09/12/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device) Food and Beverage In-kind items and services $23.17 General
Category: Recon Robotics
06/14/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device), JOURNEY II Food and Beverage In-kind items and services $94.84 General
Category: Recon Robotics
05/21/2024 Solventum Corporation ACTIV.A.C. (Device), PROMOGRAN PRISMA, SNAP Food and Beverage Cash or cash equivalent $15.10 General
Category: Negative Pressure Systems & Dressings
05/10/2024 DeRoyal Industries, Inc. Flex NPWT Single Use System (Device) Food and Beverage Cash or cash equivalent $25.00 General
Category: Wound Care
05/02/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device) Food and Beverage In-kind items and services $39.08 General
Category: Recon Robotics
04/29/2024 Stryker Corporation MAKO (Device) Food and Beverage In-kind items and services $31.32 General
Category: KNEES, HIPS
04/23/2024 Stryker Corporation MAKO (Device) Travel and Lodging Cash or cash equivalent $1,079.49 General
Category: KNEES, HIPS
04/20/2024 Smith+Nephew, Inc. JOURNEY II (Device), JOURNEY II Travel and Lodging In-kind items and services $257.06 General
Category: Recon Knees
04/19/2024 Smith+Nephew, Inc. JOURNEY II (Device), Legion Revision, OR3O Dual Mobility Food and Beverage In-kind items and services $152.52 General
Category: Recon Knees
04/18/2024 Smith+Nephew, Inc. JOURNEY II (Device), Legion Revision, OR3O Dual Mobility Travel and Lodging In-kind items and services $803.50 General
Category: Recon Knees
04/18/2024 Smith+Nephew, Inc. JOURNEY II (Device), JOURNEY II Travel and Lodging In-kind items and services $219.98 General
Category: Recon Knees
04/18/2024 Smith+Nephew, Inc. REAL INTELLIGENCE (Device) Food and Beverage In-kind items and services $126.68 General
Category: Recon Robotics
04/18/2024 Smith+Nephew, Inc. JOURNEY II (Device), Legion Revision, OR3O Dual Mobility Travel and Lodging In-kind items and services $66.19 General
Category: Recon Knees
04/12/2024 HERAEUS MEDICAL, LLC. PALACOS (Device) Food and Beverage In-kind items and services $11.24 General
Category: BONE CEMENT
04/10/2024 Stryker Corporation MAKO (Device) Travel and Lodging Cash or cash equivalent $87.40 General
Category: KNEES, HIPS
04/07/2024 Stryker Corporation MAKO (Device) Food and Beverage In-kind items and services $51.16 General
Category: KNEES, HIPS

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 22 1,334 5,904 $2.6M $256,770
2022 22 1,860 4,509 $2.5M $265,865
2021 31 2,075 6,233 $2.3M $313,792
2020 30 2,152 5,970 $1.5M $248,090
Total Patients
7,421
Total Services
22,616
Medicare Billing
$1.1M
Procedure Codes
106

All Medicare Procedures & Services

106 procedure records from CMS Medicare Utilization — Page 1 of 5

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
27130 Replacement of thigh bone and hip joint with prosthesis Facility 2023 55 57 $603,858 $57,726 9.6%
27447 Replacement of knee joint, both sides of knee Facility 2023 47 49 $590,842 $50,553 8.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 256 304 $169,632 $28,303 16.7%
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg Office 2023 28 2,176 $315,520 $27,464 8.7%
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis Facility 2023 11 15 $213,630 $20,724 9.7%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 172 254 $67,056 $17,251 25.7%
20610 Aspiration and/or injection of fluid from large joint Office 2023 121 217 $234,944 $12,026 5.1%
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg Office 2023 17 1,560 $81,120 $7,842 9.7%
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms Office 2023 23 24 $23,832 $4,674 19.6%
80307 Testing for presence of drug, by chemistry analyzers Office 2023 65 68 $59,568 $4,019 6.7%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 34 34 $22,814 $3,799 16.7%
73502 X-ray of hip, 2-3 views Office 2023 106 116 $34,570 $3,761 10.9%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 23 24 $14,400 $3,193 22.2%
73564 X-ray of knee, 4 or more views Office 2023 74 89 $40,050 $2,992 7.5%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 37 37 $16,650 $2,774 16.7%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 26 26 $15,106 $2,737 18.1%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 66 77 $15,400 $2,655 17.2%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 15 15 $11,310 $2,103 18.6%
73560 X-ray of knee, 1-2 views Office 2023 47 54 $10,800 $1,216 11.3%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2023 88 684 $6,840 $548.55 8.0%
73030 X-ray of shoulder, minimum of 2 views Office 2023 12 13 $5,200 $368.29 7.1%
81000 Manual urinalysis test with examination using microscope, non-automated Office 2023 11 11 $297.00 $39.40 13.3%
27447 Replacement of knee joint, both sides of knee Facility 2022 61 65 $782,306 $70,627 9.0%
27130 Replacement of thigh bone and hip joint with prosthesis Facility 2022 52 54 $572,076 $58,183 10.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 290 429 $239,382 $43,090 18.0%

About Dr. Nicholas Dirig, DO

Dr. Nicholas Dirig, DO is a Student in an Organized Health Care Education/Training Program healthcare provider based in Carson City, Nevada. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/28/2011. The National Provider Identifier (NPI) number assigned to this provider is 1801193883.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nicholas Dirig, DO has received a total of $11,202 in payments from pharmaceutical and medical device companies, with $5,881 received in 2024. These payments were reported across 105 transactions from 22 companies. The most common payment nature is "Travel and Lodging" ($6,653).

As a Medicare-enrolled provider, Dirig has provided services to 7,421 Medicare beneficiaries, totaling 22,616 services with total Medicare billing of $1.1M. Data is available for 4 years (2020–2023), covering 106 distinct procedure/service records.

Practice Information

Products in Payments

  • MAKO (Device) $2,325
  • JOURNEY II (Device) $1,935
  • REAL INTELLIGENCE (Device) $1,549
  • Oxford-Knees (Device) $1,219
  • Taperloc (Device) $971.85
  • ROSA (Device) $686.76
  • AQUAMANTYS (Device) $414.18
  • VA-LCP PLATES & SCREWS (Device) $244.99
  • T-Fix (Device) $170.07
  • MITRIS RESILIA Mitral Valve (Device) $132.57
  • Persona (Device) $120.42
  • ATTUNE (Device) $109.52
  • Surgical wound closure product (Medical Supply) $104.03
  • Durolane (Device) $94.42
  • Zilretta (Drug) $70.01
  • PENNSAID (Drug) $48.61
  • NA (Device) $47.50
  • MyMobility (Device) $38.96
  • JUBLIA (Drug) $37.00
  • EVOS (Device) $34.64

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Student in an Organized Health Care Education/Training Program Doctors in Carson City