Adam Rammacher, DPM
Foot & Ankle Surgery · Chesterfield, MONPI 1609112523
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,815 of the $14,577 with a category attached, or 60.5%. 21 manufacturers reported payments, led by Stryker at 41.9% of the total. Reporting peaked in 2022 at $3,863 and has fallen 58.6% since, to $1,598 in 2025.
Across 211 payments — averaging $69.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Zimmer Biomet$2K
- Paragon 28, Inc.$2K
- Treace Medical Concepts, Inc.$2K
- Elite Orthopedics, LLC$2K
- Smith+Nephew$159
- plus $887 from 15 others
What the payments were for
- Travel & lodging$4,56231%
- Food & beverage$8,81560%
- Education$1,2008%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker(2 entities) | 122 | $6,105 |
| Zimmer Biomet | 25 | $2,052 |
| Paragon 28, Inc. | 8 | $1,916 |
| Treace Medical Concepts, Inc. | 7 | $1,748 |
| Elite Orthopedics, LLC | 6 | $1,710 |
| Smith+Nephew | 9 | $159 |
| Bone Support Inc. | 2 | $150 |
| Koya Medical, Inc. | 1 | $140 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $101 |
| CPM Medical Consultants, LLC | 1 | $76 |
| Aroa Biosurgery Incorporated | 4 | $73 |
| Novo Nordisk | 5 | $73 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $56 |
| Organogenesis Inc. | 2 | $44 |
| Sanara Medtech Inc. | 2 | $38 |
| Eisai Inc. | 2 | $32 |
| Solventum Corporation | 1 | $24 |
| Medline Industries LP | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $20 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
| Zimvie Inc. | 1 | $17 |
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.
- Lapiplasty System$1,592
- Product Portfolio$1,128
- HOFFMANN$1,077
- ORTHOLOC 3DI$655
- ANCHORAGE$518
- Knees Product Portfolio$512
- AUGMENT INJECTABLE$431
- Dayspring$421
- Portfolio$313
- CITREFIX$282
- EASY CLIP$276
- Nextremity InCore$252
- PHANTOM LAPIDUS NAIL$251
- Stratum Foot Plating System$233
- AccuFill$169
- Koya Medical$140
- TAPESTRY$140
- Juggerknotless Soft Anchor$140
- Genex$140
- Juggerknot$137
How this compares
$14,577 in reported general payments places this provider in the 70th percentile of 163 foot & ankle surgery providers in Missouri.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ammonium Lactate | 66 | $839 |
| Doxycycline Monohydrate | 71 | $810 |
| Ketoconazole | 39 | $486 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 78 | $465 |
| Mupirocin | 47 | $340 |
| Doxycycline Hyclate | 27 | $158 |
| Meloxicam | 57 | $107 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 22 | $105 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $85 |
| Amoxicillin | 56 | $80 |
| Triamcinolone Acetonide | 17 | $65 |
| Colchicine | 15 | $65 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 32 | $62 |
| Cephalexin | 12 | $45 |
| Tramadol Hcl | 12 | $28 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Chesterfield
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Amar PatelLees Summit$203K
- Anthony LombardoBridgeton$132K
- Jason AndersonKansas City$131K
- John HoltzmanSaint Louis$129K
- Jesse WolfeSaint Louis$89K
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.