Smart-C System
Payments companies reported to CMS as associated with Smart-C System. "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 Smart-C System, 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 Smart-C System
These are the largest totals companies reported as associated with Smart-C System. 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) |
|---|---|---|---|
| Diltaj Singh | Sterling, VA | Podiatrist | $10,850.00 |
| Ramesh Srinivasan | San Antonio, TX | Orthopaedic Surgery | $1,925.00 |
| Mark Myerson | Baltimore, MD | Orthopaedic Surgery | $1,234.40 |
| James Johnston | Johnson City, TN | Sports Medicine (Family Medicine) | $17.83 |
Prescribed Smart-C System?
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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.