Has Alexander Aleem, MD received payments from drug or device companies?

Yes. Drug and device makers reported $230,092 in general payments to Alexander Aleem, MD across 246 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Alexander Aleem, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Alexander Aleem, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Alexander Aleem, MD

Orthopaedic Surgery · Saint Louis, MONPI 1326369265

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $188,852 of the $230,092 with a category attached, or 82.1%. Stryker accounts for 97.3% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $61,005, more than ten times the $3,670 reported in 2019. Among orthopaedic surgery clinicians in MO 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.

$230,092in general payments, 2019–2025

Across 246 payments — averaging $935.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Stryker$224K
Elite Orthopedics, LLC$4K
Synthes GmbH$2K
Zimmer Biomet$115
Acumed LLC$113

$83,637in research payments, 2019–2025

Across 24 payments — averaging $3484.88 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.

Stryker$70K
Zimmer Biomet$14K

What the payments were for

Consulting fees$188,85282%
Speaking & faculty fees$1,5001%
Travel & lodging$28,92613%
Food & beverage$7,3083%
Education$3,5062%

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)	231	$223,869
Elite Orthopedics, LLC	8	$3,676
Synthes GmbH	4	$2,318
Zimmer Biomet	2	$115
Acumed LLC	1	$113

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.

BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$159,007
AEQUALIS PERFORM$114,704
SIMPLICITI$40,725
AEQUALIS PERFORM REVERSED$36,954
MAKO$31,459
TORNIER PERFORM ANATOMIC AUGMENTED GLENOID$29,700
TORNIER PERFORM REVERSED GLENOID$25,650
TORNIER PERFORM REVERSED AUGMENTED GLENOID$23,400
REUNION$17,380
AXSOS$15,750
EVOLVE$15,750
AEQUALIS REVERSED II$15,300
AEQUALIS ASCEND FLEX$1,568
ACUMED$226
PERFORMANCE-LOAD$225
INnate Implant$113
BLUEPRINT PSI SYSTEM$108

How this compares

$230,092 in reported general payments places this provider in the 95th percentile of 455 orthopaedic surgery providers in Missouri.

See all orthopaedic surgery providers in Missouri →

Medicare billing

Part B allowed, 2024

$244,341

Medicare patients

510

Services billed

2,035

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
Oxycodone Hcl	136	$947
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	39	$399
Meloxicam	75	$140
Ondansetron OdtOndansetron	13	$132
Cyclobenzaprine Hcl	23	$113
Tramadol Hcl	42	$106
Amoxicillin	58	$75
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	14	$31
Clindamycin Hcl	25	$21
Diclofenac Sodium	11	$4

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Saint Louis

Jay KeenerSaint Louis$2.2M
John WatsonSaint Louis$1.7M
Peter ChalmersSaint Louis$603K
Lionel MetzSaint Louis$428K
Jon CarlsonSaint Louis$354K
Rhoderic MirkinSaint Louis$209K
Sridhar PinnamaneniSaint Louis$188K
Kenneth SmithSaint Louis$119K
Benjamin ZmistowskiSaint Louis$118K
David MingesSaint Louis$95K

See the full list for Missouri →

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.

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