Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,056 | 72 | 96.8% |
| Travel and Lodging | $67.45 | 3 | 3.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Stryker Corporation | $1,278 | 55 | $0 (2024) |
| DePuy Synthes Sales Inc. | $387.10 | 9 | $0 (2024) |
| Zimmer Biomet Holdings, Inc. | $383.97 | 7 | $0 (2024) |
| Prism Medical | $27.08 | 1 | $0 (2024) |
| Smith+Nephew, Inc. | $16.20 | 1 | $0 (2023) |
| Heron Therapeutics, Inc. | $15.40 | 1 | $0 (2024) |
| PolyNovo North America LLC | $15.31 | 1 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $608.52 | 21 | DePuy Synthes Sales Inc. ($259.51) |
| 2023 | $531.79 | 22 | Stryker Corporation ($515.59) |
| 2022 | $311.68 | 14 | Stryker Corporation ($311.68) |
| 2021 | $671.00 | 18 | Stryker Corporation ($293.63) |
All Payment Transactions
75 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/25/2024 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $53.42 | General |
| Category: Trauma | ||||||
| 10/24/2024 | Zimmer Biomet Holdings, Inc. | — | Food and Beverage | In-kind items and services | $134.19 | General |
| 10/23/2024 | DePuy Synthes Sales Inc. | TFN-ADVANCE (Device) | Food and Beverage | In-kind items and services | $144.54 | General |
| Category: Trauma | ||||||
| 10/16/2024 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $15.84 | General |
| 10/16/2024 | Heron Therapeutics, Inc. | ZYNRELEF (Drug) | Food and Beverage | In-kind items and services | $15.40 | General |
| Category: POST SURGICAL PAIN RELIEF | ||||||
| 10/02/2024 | PolyNovo North America LLC | NOVOSORB BTM (Device) | Food and Beverage | In-kind items and services | $15.31 | General |
| Category: SYNTHETIC DERMAL SUBSTITUTE | ||||||
| 09/05/2024 | Prism Medical | — | Food and Beverage | In-kind items and services | $27.08 | General |
| 08/21/2024 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $28.77 | General |
| 07/29/2024 | Stryker Corporation | VARIAX (Device) | Food and Beverage | In-kind items and services | $10.43 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 07/24/2024 | Stryker Corporation | VARIAX (Device) | Food and Beverage | In-kind items and services | $9.47 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 06/05/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $16.11 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 05/24/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $5.57 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 05/23/2024 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $3.50 | General |
| Category: Trauma | ||||||
| 05/22/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $12.04 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 05/21/2024 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $3.50 | General |
| Category: Trauma | ||||||
| 05/14/2024 | DePuy Synthes Sales Inc. | HAMMERLOCK (Device) | Food and Beverage | In-kind items and services | $3.89 | General |
| Category: Trauma | ||||||
| 05/01/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $18.06 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 03/28/2024 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $50.66 | General |
| Category: Trauma | ||||||
| 02/28/2024 | Stryker Corporation | NA (Device) | Food and Beverage | In-kind items and services | $14.43 | General |
| Category: NEURO | ||||||
| 02/07/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $14.43 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 01/31/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $11.88 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 12/20/2023 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $15.32 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 11/29/2023 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $14.46 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 11/16/2023 | Stryker Corporation | PRO (Device) | Food and Beverage | In-kind items and services | $6.66 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 11/13/2023 | Stryker Corporation | VARIAX (Device) | Food and Beverage | In-kind items and services | $5.32 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 18 | 434 | 541 | $207,481 | $24,573 |
| 2022 | 13 | 370 | 455 | $155,135 | $21,809 |
| 2021 | 13 | 369 | 417 | $156,240 | $22,992 |
| 2020 | 12 | 355 | 410 | $157,980 | $23,940 |
All Medicare Procedures & Services
56 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2023 | 48 | 50 | $45,250 | $5,772 | 12.8% |
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2023 | 29 | 29 | $26,970 | $3,547 | 13.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 67 | 84 | $8,785 | $2,776 | 31.6% |
| 27506 | Treatment of broken shaft of thigh bone with implant | Facility | 2023 | 23 | 24 | $24,240 | $2,703 | 11.1% |
| 27511 | Treatment of broken thigh bone at far end | Facility | 2023 | 16 | 17 | $12,835 | $1,593 | 12.4% |
| 23615 | Treatment of broken top of upper arm bone | Facility | 2023 | 17 | 17 | $12,060 | $1,462 | 12.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 19 | 21 | $3,520 | $1,093 | 31.1% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 12 | 12 | $3,130 | $1,000 | 32.0% |
| 27187 | Stabilization of upper thigh bone with device | Facility | 2023 | 21 | 21 | $15,750 | $999.74 | 6.3% |
| 24515 | Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) | Facility | 2023 | 14 | 14 | $9,310 | $840.04 | 9.0% |
| 27507 | Treatment of broken middle of thigh bone with placement of stabilizing device | Facility | 2023 | 14 | 15 | $12,075 | $772.80 | 6.4% |
| 27829 | Treatment of ligament tear at ankle joint | Facility | 2023 | 18 | 18 | $9,450 | $749.85 | 7.9% |
| 73552 | X-ray of thigh bone, minimum 2 views | Office | 2023 | 58 | 93 | $11,169 | $542.67 | 4.9% |
| 73610 | X-ray of ankle, minimum of 3 views | Office | 2023 | 18 | 30 | $2,985 | $197.45 | 6.6% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 15 | 29 | $3,497 | $165.92 | 4.7% |
| 72170 | X-ray of pelvis, 1-2 views | Office | 2023 | 19 | 24 | $2,275 | $150.21 | 6.6% |
| 73560 | X-ray of knee, 1-2 views | Office | 2023 | 12 | 23 | $2,180 | $115.06 | 5.3% |
| 73060 | X-ray of upper arm, minimum of 2 views | Office | 2023 | 14 | 20 | $2,000 | $94.14 | 4.7% |
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2022 | 58 | 58 | $53,940 | $7,110 | 13.2% |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2022 | 46 | 46 | $41,630 | $5,427 | 13.0% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 59 | 75 | $7,500 | $2,364 | 31.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 22 | 24 | $3,840 | $1,346 | 35.0% |
| 27511 | Treatment of broken thigh bone at far end | Facility | 2022 | 14 | 14 | $10,570 | $1,305 | 12.4% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 28 | 28 | $3,780 | $1,281 | 33.9% |
| 23615 | Treatment of broken top of upper arm bone | Facility | 2022 | 11 | 11 | $7,370 | $894.42 | 12.1% |
About Robert Ripchinski, PAC
Robert Ripchinski, PAC is a Physician Assistant healthcare provider based in Des Moines, Iowa. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/21/2006. The National Provider Identifier (NPI) number assigned to this provider is 1003970278.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Robert Ripchinski, PAC has received a total of $2,123 in payments from pharmaceutical and medical device companies, with $608.52 received in 2024. These payments were reported across 75 transactions from 7 companies. The most common payment nature is "Food and Beverage" ($2,056).
As a Medicare-enrolled provider, Ripchinski has provided services to 1,528 Medicare beneficiaries, totaling 1,823 services with total Medicare billing of $93,314. Data is available for 4 years (2020–2023), covering 56 distinct procedure/service records.
Practice Information
- Specialty Physician Assistant
- Location Des Moines, IA
- Active Since 12/21/2006
- Last Updated 03/24/2016
- Taxonomy Code 363A00000X
- Entity Type Individual
- NPI Number 1003970278
Products in Payments
- Trauma-None (Device) $249.78
- T2 (Device) $157.20
- T2 ALPHA (Device) $154.48
- AXSOS (Device) $152.50
- TFN-ADVANCE (Device) $144.54
- PELVIS II (Device) $143.70
- NA (Device) $125.51
- LCP (Device) $112.04
- GAMMA (Device) $108.27
- BIO4 (Device) $100.43
- VARIAX (Device) $58.68
- EASY CLIP (Device) $28.33
- EVOS (Device) $16.20
- Fibulink (Device) $15.55
- ZYNRELEF (Drug) $15.40
- NOVOSORB BTM (Device) $15.31
- HYDROSET (Device) $12.50
- PRO (Device) $6.66
- HAMMERLOCK (Device) $3.89
Explore
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.
Physician Assistant Doctors in Des Moines
Lindsey Huisman
Physician Assistant — Payments: $5,859
David Roberts, Pa, PA
Physician Assistant — Payments: $4,771
Zaynab Said, Pa-C, PA-C
Physician Assistant — Payments: $2,389
Ms. Courtney Heater, P.a, P.A
Physician Assistant — Payments: $2,369
Mrs. Dena Kaufman, Pa-C, PA-C
Physician Assistant — Payments: $2,277
Mary Klemesrud, Pa, PA
Physician Assistant — Payments: $2,182