Alexander Kelsheimer, DO
Hand Surgery · Holland, MINPI 1356723712
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Elite Orthopedics, LLC at 41.1% of the total. Reporting peaked in 2022 at $10,901 and has fallen 77.9% since, to $2,413 in 2025. Among hand surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 155 payments — averaging $194.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$12K
- Arthrex$7K
- Medacta USA, Inc.$3K
- Medical Device Business Services, Inc.$2K
- Trimed, Inc.$2K
- Zimmer Biomet$852
- plus $3K from 16 others
What the payments were for
- Consulting fees$6232%
- Travel & lodging$8,57428%
- Food & beverage$6,26421%
- Education$14,63948%
- Entertainment$1220%
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 |
|---|---|---|
| Elite Orthopedics, LLC | 27 | $12,423 |
| Arthrex | 44 | $6,961 |
| Medacta USA, Inc. | 25 | $2,589 |
| Medical Device Business Services, Inc. | 14 | $2,486 |
| Trimed, Inc. | 3 | $1,973 |
| Zimmer Biomet | 7 | $852 |
| Zak Ortho | 5 | $653 |
| Axogen | 5 | $465 |
| Acumed LLC | 1 | $399 |
| Endo Pharmaceuticals Inc. | 6 | $299 |
| Stryker | 4 | $254 |
| Skeletal Dynamics Inc | 2 | $187 |
| Lightbody Medical Technologies Inc | 1 | $140 |
| Merck | 1 | $104 |
| Globus Medical | 1 | $98 |
| AbbVie | 1 | $98 |
| Smith+Nephew | 1 | $80 |
| MVP Orthopedics Inc | 1 | $56 |
| Orthofix Medical, Inc. | 3 | $30 |
| Johnson & Johnson | 1 | $28 |
| Endo USA, Inc. | 1 | $28 |
| Sonex Health, Inc. | 1 | $19 |
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.
- VA-LCP PLATES & SCREWS$1,142
- GMK SPHERE$836
- AMISTEM$714
- AVANCE NERVE GRAFT$454
- Elbow Plating System$399
- Anatomic Radial Head System$399
- Clavicle Plating System$399
- Polarus 3 Solution$399
- Extremities-None$261
- ROSA$171
- VARIAX$163
- BIO4$163
- REUNION$163
- XIAFLEX$122
- ADES Dual Mobility$119
- G7$119
- Taperloc$119
- Echo$119
- ROSA-Knee$118
- PRIMARY SHOULDER$112
How this compares
$30,222 in reported general payments places this provider in the 90th percentile of 55 hand surgery providers in Michigan.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $150 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $138 |
| Methylprednisolone | 12 | $72 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Holland
- Brian PaffHolland$204
- John LienYpsilanti$56K
- Jeffrey LawtonAnn Arbor$46K
- Randy LovellGrand Rapids$40K
- Hussein HamidSouthfield$33K
- Janelle GreeneYpsilanti$20K
- Emily TanPort Huron$15K
- Andrew BaronDetroit$15K
- Jourdan GardWarren$14K
- Charles DayDetroit$12K
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.