Andrew Spitzfaden, MD
Orthopaedic Surgery · Chesterfield, MONPI 1447296181
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,309 of the $11,662 with a category attached, or 88.4%. Elite Orthopedics, LLC accounts for 73.4% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2021 at $6,086 and has fallen 99.7% since, to $15 in 2024.
Across 22 payments — averaging $530.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$9K
- Arthrex$3K
- Johnson & Johnson$15
What the payments were for
- Travel & lodging$9388%
- Food & beverage$4154%
- Education$10,30988%
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 |
|---|---|---|
| Elite Orthopedics, LLC | 10 | $8,555 |
| Arthrex | 11 | $3,091 |
| Johnson & Johnson | 1 | $15 |
How this compares
$11,662 in reported general payments places this provider in the 65th percentile of 455 orthopaedic 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 | 74 | $956 |
| Oxycodone Hcl | 125 | $876 |
| Tramadol Hcl | 115 | $332 |
| Cephalexin | 73 | $198 |
| Diclofenac Sodium | 26 | $194 |
| Hydroxyzine Pamoate | 24 | $135 |
| Ondansetron Hcl | 33 | $76 |
| Methylprednisolone | 16 | $68 |
| Clindamycin Hcl | 11 | $23 |
| Meloxicam | 16 | $16 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Chesterfield
- Matthew MatavaChesterfield$135K
- Emily WhickerChesterfield$39K
- Matthew SmithColumbia$2.9M
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Katherine BurnsBridgeton$491K
- Jeremy StattonLees Summit$457K
- Lionel MetzSaint Louis$428K
- Michael HellmanLees Summit$365K
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.