Andrew Palmisano, MD
Adult Reconstructive Orthopaedic Surgery · Overland Park, KSNPI 1306139282
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $30,702 of the $39,683 with a category attached, or 77.4%. Maxx Orthopedics, Inc. accounts for 89.4% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2023 at $25,304 and has fallen 98.3% since, to $432 in 2025.
Across 132 payments — averaging $300.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Maxx Orthopedics, Inc.$35K
- Stryker$2K
- Biocomposites Inc$293
- Zimmer Biomet$250
- Davol Inc.$184
- Think Surgical, Inc.$147
- plus $906 from 24 others
Across 5 payments — averaging $7460.00 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.
- Maxx Orthopedics, Inc.$37K
What the payments were for
- Travel & lodging$8,98123%
- Food & beverage$30,70277%
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 |
|---|---|---|
| Maxx Orthopedics, Inc. | 44 | $35,484 |
| Stryker | 42 | $2,419 |
| Biocomposites Inc | 6 | $293 |
| Zimmer Biomet | 2 | $250 |
| Davol Inc. | 4 | $184 |
| Think Surgical, Inc. | 1 | $147 |
| Radius Health, Inc. | 2 | $138 |
| Johnson & Johnson | 1 | $94 |
| Smith+Nephew | 1 | $61 |
| Ossur Americas, Inc. | 3 | $59 |
| Dynasplint Systems Inc. | 2 | $56 |
| Argentum Medical | 1 | $55 |
| Bioventus LLC | 2 | $53 |
| Heron Therapeutics, Inc. | 3 | $47 |
| Pacira Therapeutics, Inc. | 2 | $35 |
| Grifols USA, LLC | 1 | $34 |
| Melinta Therapeutics, LLC | 2 | $32 |
| Titan Surgical Group, LLC | 1 | $31 |
| Vertex | 1 | $24 |
| Onkos Surgical, Inc. | 1 | $22 |
| Jazz Pharmaceuticals Inc. | 1 | $21 |
| Viiv Healthcare Company | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Baxter Healthcare | 1 | $17 |
| Access Pro Medical, LLC | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $17 |
| Novo Nordisk | 1 | $14 |
| Merck | 1 | $14 |
| Organogenesis 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.
- MAKO$896
- TRIATHLON$751
- Stimulan$202
- TMINI Miniature Robotic System$147
- T2$146
- ROSA$130
- Persona$121
- ARISTA AH FLEXITIP$108
How this compares
Too few adult reconstructive orthopaedic surgery providers in Kansasto place this figure against a meaningful peer group, so we don't.
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 Hcl | 267 | $2,155 |
| Meloxicam | 128 | $438 |
| Tizanidine Hcl | 105 | $417 |
| Methylprednisolone | 59 | $386 |
| Ondansetron Hcl | 38 | $204 |
| Gabapentin | 16 | $157 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $110 |
| Amoxicillin | 32 | $26 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Overland Park
- Kelly HendricksOverland Park$250K
- Michael PerryOverland Park$14K
- Tarun BhargavaWichita$534K
- Jonathon SalavaTopeka$52K
- Matthew de RuyterKansas City$23K
- Andrew MurthaKansas City$9K
- Scott WingerterLeawood$5K
- Paul PappademosWichita$4K
- Benjamin YoungWichita$4K
- Adam GoodyearLawrence$2K
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.