Andrew Harston, MD
Orthopaedic Surgery · Louisville, KYNPI 1952690141
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 86.5% of it on its own, with 25 other manufacturers making up the rest.
Across 515 payments — averaging $96.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$43K
- Alpha Orthopedic Systems$1K
- Zimmer Biomet$1K
- Exactech, Inc.$1K
- Treace Medical Concepts, Inc.$730
- Fusion Orthopedics USA, LLC$656
- plus $2K from 20 others
What the payments were for
- Consulting fees$25,35051%
- Travel & lodging$8,32117%
- Food & beverage$13,72528%
- Education$2,4325%
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 | 446 | $43,084 |
| Alpha Orthopedic Systems | 9 | $1,432 |
| Zimmer Biomet | 10 | $1,300 |
| Exactech, Inc. | 7 | $1,108 |
| Treace Medical Concepts, Inc. | 5 | $730 |
| Fusion Orthopedics USA, LLC | 3 | $656 |
| Arthrex | 5 | $645 |
| Medline Industries LP | 1 | $174 |
| Flower Orthopedics Coporation | 2 | $161 |
| Paragon 28, Inc. | 5 | $69 |
| Blue Surgical LLC | 2 | $66 |
| Trilliant Surgical LLC. | 2 | $62 |
| Smith+Nephew | 2 | $56 |
| Radius Health, Inc. | 3 | $45 |
| Amgen | 2 | $35 |
| Kerecis Limited | 1 | $30 |
| Ossio Inc | 1 | $24 |
| Johnson & Johnson | 1 | $24 |
| Auxano Medical LLC | 1 | $20 |
| Acumed LLC | 1 | $19 |
| Restor3d, Inc. | 1 | $18 |
| Extremity Medical | 1 | $17 |
| Depuy Synthes Products, Inc. | 1 | $16 |
| AstraZeneca | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $12 |
| Medartis Inc. | 1 | $11 |
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.
- VARIAX$12,866
- AXSOS$6,650
- ORTHOLOC 3DI$4,713
- T2$4,002
- HOFFMANN$2,869
- ANCHOR C$2,800
- PROPHECY$2,400
- PRIME SERIES$1,981
- BIOFOAM$1,925
- VALOR$1,925
- INBONE$1,868
- STAR$1,775
- GAMMA$1,750
- InCore Lapidus$1,117
- PROstep$647
- Lapiplasty System$635
- INVISION$581
- PILON PLATES$500
- INFINITY$448
- ADAPT$438
How this compares
$49,829 in reported general payments places this provider in the 85th percentile of 322 orthopaedic surgery providers in Kentucky.
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 | 72 | $1,569 |
| Gabapentin | 33 | $1,028 |
| Oxycodone Hcl | 100 | $372 |
| Ondansetron Hcl | 75 | $180 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $87 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Louisville
- Arthur MalkaniLouisville$9.6M
- Jonathan YerasimidesLouisville$4.3M
- John LewisLouisville$1.5M
- Akbar NawabLouisville$1M
- Joseph GreeneLouisville$581K
- George QuillLouisville$304K
- Rodolfo Zamora RendichLouisville$292K
- Richard SweetLouisville$238K
- Frank BonnarensLouisville$146K
- Ryan EadsLouisville$99K
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.