Alexander Orem, MD
Orthopaedic Surgery · Lebanon, NHNPI 1811130073
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $178,546 of the $215,070 with a category attached, or 83.0%. Medacta USA, Inc. accounts for 98.2% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $76,437, 5.2 times the $14,621 reported in 2019. Among orthopaedic surgery clinicians in NH 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 185 payments — averaging $1162.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$211K
- Medical Device Business Services, Inc.$3K
- Stryker$183
- Zimmer Biomet$146
- Smith+Nephew$126
- Johnson & Johnson$122
- plus $211 from 3 others
What the payments were for
- Consulting fees$178,54683%
- Travel & lodging$30,94214%
- Food & beverage$5,5813%
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 |
|---|---|---|
| Medacta USA, Inc. | 173 | $211,232 |
| Medical Device Business Services, Inc. | 4 | $3,050 |
| Stryker | 2 | $183 |
| Zimmer Biomet | 1 | $146 |
| Smith+Nephew | 1 | $126 |
| Johnson & Johnson | 1 | $122 |
| Think Surgical, Inc. | 1 | $111 |
| Onkos Surgical, Inc. | 1 | $78 |
| Tactile Systems Technology Inc | 1 | $22 |
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.
- GMK Sphere Revision System$63,462
- GMK SPHERE$48,109
- AMISTEM$46,725
- QUADRA$19,425
- NextAR Knee$9,757
- ACTIS$3,024
- EMPHASYS$2,902
- Kincise$2,902
- Velys$2,902
- AMIStem H Femoral Stems$2,781
- Quadra C Femoral Stems$2,450
- GMK REVISION$492
- REAL INTELLIGENCE$126
- Journey II$126
- TMINI Miniature Robotic System$111
How this compares
$215,070 in reported general payments places this provider in the 95th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Celecoxib | 34 | $1,823 |
| Naproxen | 65 | $458 |
| Oxycodone Hcl | 48 | $223 |
| Pantoprazole Sodium | 45 | $196 |
| Methylprednisolone | 19 | $124 |
| Gabapentin | 16 | $53 |
| Tramadol Hcl | 15 | $43 |
| Amoxicillin | 14 | $21 |
| Dexamethasone | 16 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lebanon
- John-Erik BellLebanon$528K
- Philip WolinskyLebanon$110K
- Ida GitajnLebanon$107K
- Stella LeeLebanon$106K
- Eric HendersonLebanon$61K
- Anna MillerLebanon$34K
- Leonard RudolfLebanon$29K
- Michael SparksLebanon$26K
- Gerard ChangLebanon$23K
- Frances FaroLebanon$19K
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.