Alexander Roth
Adult Reconstructive Orthopaedic Surgery · Cleveland, OHNPI 1992237580
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,551 of the $8,552 with a category attached, or 64.9%. Stryker accounts for 67.4% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $3,385 and has fallen 64.0% since, to $1,219 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in OH, where the typical reported total is $10,094.
Across 99 payments — averaging $86.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Zimmer Biomet$2K
- Medtronic$222
- Davol Inc.$158
- Biocomposites Inc$135
- Orthalign Inc$135
- plus $356 from 4 others
What the payments were for
- Travel & lodging$2,95435%
- Food & beverage$5,55165%
- Education$471%
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 | 62 | $5,760 |
| Zimmer Biomet | 24 | $1,786 |
| Medtronic | 3 | $222 |
| Davol Inc. | 1 | $158 |
| Biocomposites Inc | 1 | $135 |
| Orthalign Inc | 1 | $135 |
| Onkos Surgical, Inc. | 1 | $125 |
| Johnson & Johnson | 4 | $113 |
| Osteomed LLC | 1 | $104 |
| Bioventus LLC | 1 | $15 |
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.
How this compares
$8,552 in reported general payments places this provider in the 45th percentile of 59 adult reconstructive orthopaedic surgery providers in Ohio.
See all adult reconstructive orthopaedic surgery providers in Ohio →
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 |
|---|---|---|
| Meloxicam | 11 | $27 |
| Amoxicillin | 30 | $24 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Cleveland
- Viktor KrebsCleveland$7.5M
- Nicolas PiuzziCleveland$1.2M
- Michael BloomfieldCleveland$321K
- Trevor MurrayCleveland$192K
- James VoosCleveland$166K
- Peter SuraceCleveland$146K
- Kim StearnsCleveland$80K
- John McLaughlinCleveland$79K
- Mark DenzineCleveland$31K
- Michael KolczunCleveland$22K
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.