RxDoctor Payments Data

Anthony Tedesco, DO

Orthopaedic Surgery · Grinnell, IANPI 1275940371

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (43.4%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Arthrex at 49.3% of the total. Reporting peaked in 2019 at $24,453 and has fallen 99.5% since, to $124 in 2025. Among orthopaedic surgery clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$38,983in general payments, 2019–2025

Across 80 payments — averaging $487.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$19K
  • Smith+Nephew$13K
  • Wardlow Enterprises$2K
  • Stryker$2K
  • Zimmer Biomet$1K
  • Prism Medical$962
  • plus $598 from 8 others

What the payments were for

  • Grants$15,00038%
  • Travel & lodging$4,83512%
  • Food & beverage$2,2146%
  • Education$16,93343%

General payments by program year

19
20
21
22
23
24
25

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.

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

$38,983 in reported general payments places this provider in the 90th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa

Medicare billing

Part B allowed, 2024
$63,133
Medicare patients
71
Services billed
111

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

DrugClaimsCost to plans & patients
Celecoxib19$716
Mupirocin25$183
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen12$182
Tramadol Hcl47$145
Methylprednisolone24$128
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen15$120
Diclofenac Sodium33$99
Meloxicam23$70
Oxycodone Hcl13$69
Amoxicillin13$5

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Grinnell

See the full list for Iowa

Where these figures come from

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