Brock Reiter, MD
Hand Surgery · Ankeny, IANPI 1700290525
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (44.3%), food and beverage and education — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Axogen at 30.2% of the total. Reporting peaked in 2019 at $5,607 and has fallen 99.3% since, to $37 in 2025.
Across 70 payments — averaging $126.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$3K
- Medical Device Business Services, Inc.$2K
- Stryker$1K
- Crossroads Orthopedics, LLC$816
- Encore Medical, LP$709
- Integra Lifesciences Corporation$338
- plus $910 from 9 others
What the payments were for
- Travel & lodging$3,91444%
- Food & beverage$3,75843%
- Education$1,16613%
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 |
|---|---|---|
| Axogen | 8 | $2,666 |
| Medical Device Business Services, Inc. | 13 | $1,998 |
| Stryker | 12 | $1,401 |
| Crossroads Orthopedics, LLC | 1 | $816 |
| Encore Medical, LP | 9 | $709 |
| Integra Lifesciences Corporation | 7 | $338 |
| Johnson & Johnson | 8 | $291 |
| Acumed LLC | 3 | $231 |
| Anika Therapeutics, Inc. | 2 | $87 |
| Exactech, Inc. | 1 | $83 |
| Zimmer Biomet | 1 | $81 |
| DJO, LLC | 1 | $47 |
| Skeletal Dynamics Inc | 1 | $39 |
| Endo Pharmaceuticals Inc. | 2 | $28 |
| Wardlow Enterprises | 1 | $25 |
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.
- AVANCE NERVE GRAFT$1,639
- VA-LCP PLATES & SCREWS$1,381
- AxoGuard Nerve Connector$952
- AxoGuard Nerve Protector$952
- REUNION$936
- DJO Surgical Discovery Elbow System$306
- DJO Surgical AltiVate Anatomic System$264
- BILAYER WOUND MATRIX (BWM)$133
- INTEGRA WOUND MATRIX (IWM)$133
- AMNIOEXCEL$133
- IDRT$133
- FLOWABLE$133
- DJO Surgical AltiVate Reverse$117
How this compares
$8,838 in reported general payments places this provider in the 85th percentile of 24 hand surgery providers in Iowa.
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 |
|---|---|---|
| Methylprednisolone | 12 | $79 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $49 |
| Cephalexin | 14 | $34 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Ankeny
- Tyson CobbDavenport$155K
- Melissa Young-SzalayWest Des Moines$16K
- Betsey BeanAmes$13K
- Peter ChimentiCedar Rapids$5K
- Joseph BuckwalterIowa City$4K
- Shane CookDes Moines$4K
- John HeinemanDes Moines$4K
- Jonathan WinstonBettendorf$3K
- Jeffrey RodgersWest Des Moines$2K
- Ericka LawlerNorth Liberty$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.