Aaron Krych, MD
Orthopaedic Surgery · Rochester, MNNPI 1497779128
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (40.1%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Arthrex accounts for 95.1% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $281,580, 3.5 times the $81,352 reported in 2019. Among orthopaedic surgery clinicians in MN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 346 payments — averaging $2717.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$894K
- Responsive Arthroscopy Inc$29K
- DJO, LLC$9K
- Collagen Matrix, Inc$4K
- Joint Restoration Foundation, Inc.$4K
- Foundation Medical, LLC$801
- plus $265 from 5 others
Across 28 payments — averaging $2525.68 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Aesculap Biologics, LLC$36K
- Arthrex$18K
- Smith+Nephew$17K
Across 7 payments — averaging $21,429 each. An ownership or investment interest held by the physician or an immediate family member.
- Responsive Arthroscopy Inc$150K
What the payments were for
- Royalty or licence$377,32340%
- Consulting fees$169,91818%
- Speaking & faculty fees$331,13435%
- Grants$8,3921%
- Travel & lodging$48,9255%
- Food & beverage$4,6610%
- Entertainment$170%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 312 | $893,980 |
| Responsive Arthroscopy Inc | 8 | $29,019 |
| DJO, LLC | 3 | $8,563 |
| Collagen Matrix, Inc | 2 | $4,063 |
| Joint Restoration Foundation, Inc. | 7 | $3,679 |
| Foundation Medical, LLC | 8 | $801 |
| Vericel Corporation | 2 | $103 |
| Gemini Mountain Medical, LLC | 1 | $56 |
| Gemini Medical LLC | 1 | $38 |
| Zimmer Biomet | 1 | $36 |
| Native Surgical, LLC | 1 | $32 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ARTHREX$1,549,888
- KNEE & HIP IMPLANTS MENISCAL REPAIR MENISCAL ROOT REPAIR$55,997
- KNEE & HIP INSTRUMENTS MENISCAL REPAIR MENISCAL ROOT REPAIR$50,053
- KNEE & HIP INSTRUMENTS MENISCAL REPAIR ZONE NAVIGATOR$46,771
- AR-1610H$46,239
- DISTAL EXTREMITIES IMPLANTS HAND & WRIST DISTAL RADIUS$26,169
- ARTHROPLASTY IMPLANTS KNEE ARTHROPLASTY TOTAL KNEE$23,466
- ARTHROPLASTY IMPLANTS TOTAL KNEE ARTHROPLASTY TOTAL KNEE$23,304
- DISTAL EXTREMITIES IMPLANTS TRAUMA DISTAL RADIUS$23,304
- KNEE & HIP IMPLANTS MENISCAL REPAIR SUTURE$11,325
- KNEE & HIP INSTRUMENTS MENISCAL REPAIR SCORPION$8,995
- SHOULDER IMPLANTS FIBERTAK KNOTLESS$8,995
- SHOULDER INSTRUMENTS ANCHOR SPECIFIC INSTRUMENTS FIBERTAK$8,400
- SHOULDER INSTRUMENTS CANNULAS PASSPORT$8,400
- ARTHROPLASTY IMPLANTS KNEE & HIP ARTHROPLASTY TOTAL KNEE$2,703
- KNEE & HIP INSTRUMENTS REUSABLE INSTRUMENTS PCL$2,703
- SHOULDER IMPLANTS SWIVELOCKS PEEK ANCHORS$1,473
- ARTHROPLASTY INSTRUMENTS KNEE & HIP ARTHROPLASTY TOTAL KNEE$1,233
- KNEE & HIP IMPLANTS MENISCAL REPAIR SOFTSTITCH$1,160
- KNEE & HIP IMPLANTS HIP FIBERTAK$878
How this compares
$940,371 in reported general payments places this provider in the 95th percentile of 533 orthopaedic surgery providers in Minnesota.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other orthopaedic surgery in Rochester
- Daniel BerryRochester$21.5M
- Mark PagnanoRochester$14.8M
- Robert TrousdaleRochester$12.2M
- John SperlingRochester$12.2M
- Shawn O'DriscollRochester$10.5M
- David LewallenRochester$8M
- Rafael SierraRochester$4.9M
- Joaquin Sanchez-SoteloRochester$4M
- Michael TauntonRochester$3.5M
- Arlen HanssenRochester$3.2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.