Pinnacle Gription
Payments companies reported to CMS as associated with Pinnacle Gription. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Pinnacle Gription, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Pinnacle Gription
These are the largest totals companies reported as associated with Pinnacle Gription. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Anay Patel | Houston, TX | Adult Reconstructive Orthopaedic Surgery | $106,715.26 |
| James Germano | Rockville Centre, NY | Orthopaedic Surgery | $92,458.92 |
| Kory Johnson | Grand Rapids, MI | Orthopaedic Surgery | $29,274.26 |
| Elizabeth Gausden | New York, NY | Orthopaedic Surgery | $1,040.00 |
| Joseph Holobinko | Hagerstown, MD | Orthopaedic Surgery | $123.99 |
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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.