Alexander Palmer
Hand Surgery · Lees Summit, MONPI 1528451044
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Arthrex at 40.5% of the total. Reporting peaked in 2021 at $5,356 and has fallen 80.8% since, to $1,029 in 2025.
Across 129 payments — averaging $92.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Sonex Health, Inc.$2K
- Acumed LLC$2K
- Stryker$1K
- Axogen$1K
- Anika Therapeutics, Inc.$256
- plus $834 from 14 others
Across 2 payments — averaging $25,250 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.
- Sonex Health, Inc.$51K
What the payments were for
- Speaking & faculty fees$1161%
- Travel & lodging$2,76623%
- Food & beverage$5,42846%
- Education$3,61330%
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 | 17 | $4,827 |
| Sonex Health, Inc. | 34 | $2,034 |
| Acumed LLC | 18 | $1,827 |
| Stryker | 24 | $1,091 |
| Axogen | 12 | $1,056 |
| Anika Therapeutics, Inc. | 3 | $256 |
| Skeletal Dynamics Inc | 2 | $250 |
| Innovation Technologies Inc | 1 | $133 |
| Johnson & Johnson(2 entities) | 2 | $82 |
| Linvatec Corporation | 2 | $69 |
| Bioventus LLC | 3 | $53 |
| Acera Surgical, Inc. | 2 | $48 |
| Rock Medical Orthopedics, Inc. | 1 | $43 |
| Ossur Americas, Inc. | 2 | $41 |
| Titan Surgical Group, LLC | 1 | $23 |
| Polynovo North America LLC | 1 | $22 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Amgen | 1 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
| Integra Lifesciences Corporation | 1 | $14 |
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.
- ACUMED$4,594
- Montage 5cc$1,128
- ULTRAGUIDECTR$1,014
- ULTRAGUIDETFR$1,014
- AVANCE NERVE GRAFT$582
- AxoGuard Nerve Connector$303
- AxoGuard Nerve Protector$303
- AXOGUARD HA+ NERVE PROTECTOR$303
- AxoGuard Nerve Cap$303
- Sx-One Microknife$251
- Geminus$250
- Align$250
- IJS$250
- Implate$250
- VARIAX$246
- Tactoset Foot & Ankle Place Holder$157
- NanoPhix Implant$144
- InFrame Implant$144
- AEQUALIS PERFORM$135
- Irrisept$133
How this compares
$11,923 in reported general payments places this provider in the 80th percentile of 36 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $194 |
| Cephalexin | 17 | $89 |
| Tramadol Hcl | 38 | $79 |
| Prednisone | 12 | $32 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lees Summit
- Jay BridgemanColumbia$40K
- Richard GelbermanSaint Louis$30K
- Tyler KrummenacherSaint Louis$26K
- Wassim MouradSaint Louis$24K
- Georgina GlogovacChesterfield$20K
- Robert BellSaint Louis$20K
- Matthew WintertonSaint Louis$10K
- Nathan FisherSaint Louis$10K
- Nathanael OlsonSaint Louis$9K
- Schuyler HalversonSaint Louis$8K
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.