Real Intelligence
Payments companies reported to CMS as associated with Real Intelligence. "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 Real Intelligence, 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 Real Intelligence
These are the largest totals companies reported as associated with Real Intelligence. 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) |
|---|---|---|---|
| Thorsten Seyler | Durham, NC | Adult Reconstructive Orthopaedic Surgery | $984,720.63 |
| James Chow | Phoenix, AZ | Orthopaedic Surgery | $664,999.20 |
| Steven Haas | New York, NY | Orthopaedic Surgery | $654,032.66 |
| Ran Schwarzkopf | Orange, CA | $630,888.43 | |
| Steven Nishiyama | Las Vegas, NV | Adult Reconstructive Orthopaedic Surgery | $627,810.01 |
| Fred Cushner | New York, NY | Orthopaedic Surgery | $600,115.85 |
| Jaime Carvajal Alba | Clermont, FL | Orthopaedic Surgery | $554,360.12 |
| James Comadoll | Salisbury, NC | Orthopaedic Surgery | $515,960.51 |
| David Markel | Southfield, MI | Orthopaedic Surgery | $387,220.45 |
| Hany Bedair | Chicago, IL | Adult Reconstructive Orthopaedic Surgery | $372,872.38 |
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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.