Device Bone Substitute

Bio4

Payments companies reported to CMS as associated with Bio4. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$107Kassociated payments (2023-2025)
632clinicians with associated payments
2companies reporting

By year

2023 $54K
2024 $39K
2025 $14K

Payments reported as associated with Bio4, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Orthopaedic Surgery $29K
Orthopaedic Trauma $15K
Adult Reconstructive Orthopaedic Surgery $14K
Foot and Ankle Surgery $9,181
Orthopaedic Surgery of The Spine $8,553
Foot & Ankle Surgery $7,724

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Bio4

These are the largest totals companies reported as associated with Bio4. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
Nicolas Piuzzi Cleveland, OH Adult Reconstructive Orthopaedic Surgery $13,816.48
Philipp Leucht New York, NY Orthopaedic Trauma $8,020.89
Gregory Carolan Bethlehem, PA Orthopaedic Surgery $6,375.00
Eric Tan Los Angeles, CA Foot and Ankle Surgery $6,100.00
Robert Wetzel Cleveland, OH Orthopaedic Trauma $4,086.63
Alex Gitelman Stamford, CT Orthopaedic Surgery of The Spine $3,360.30
Kyle Peterson Bartlett, IL Foot & Ankle Surgery $3,240.00
Bala Giri Dallas, TX Neurological Surgery $2,617.67
Wellington Hsu Chicago, IL Orthopaedic Surgery $1,812.50
Joshua Hunter Charlotte, NC Orthopaedic Surgery $1,800.00

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.