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Averaged over 4 years, 91% of the total orthopaedic FA payment was made to the top 5% of orthopaedic FA surgeons. The median payment for this group increased from $177 000 (2014) to $192 000 (2017; P = .012). Conclusion. Though median payments to the top 5% of orthopaedic FA surgeons increased, there was no overall change in median payment over four years for all compensated orthopaedic FA surgeons. These findings shed insight into the orthopaedic FA surgeon-industry relationship. Levels of Evidence III, Retrosp