Chinedu Nwosa, MD
Orthopaedic Trauma · Des Moines, IANPI 1457529356
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,396 of the $9,704 with a category attached, or 86.5%. 17 manufacturers reported payments, led by Stryker at 51.2% of the total. Reporting peaked in 2019 at $2,160 and has fallen 55.4% since, to $963 in 2025.
Across 232 payments — averaging $41.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Zimmer Biomet$1K
- Johnson & Johnson$1K
- Medical Device Business Services, Inc.$764
- Smith+Nephew$609
- Si-bone, Inc.$184
- plus $560 from 11 others
What the payments were for
- Travel & lodging$1,30813%
- Food & beverage$8,39687%
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 |
|---|---|---|
| Stryker | 141 | $4,965 |
| Zimmer Biomet | 22 | $1,370 |
| Johnson & Johnson | 34 | $1,253 |
| Medical Device Business Services, Inc. | 7 | $764 |
| Smith+Nephew | 9 | $609 |
| Si-bone, Inc. | 3 | $184 |
| Dynasplint Systems Inc. | 3 | $163 |
| Acumed LLC | 1 | $137 |
| Bioventus LLC | 2 | $85 |
| Polynovo North America LLC | 2 | $32 |
| Sanara Medtech Inc. | 1 | $32 |
| Prism Medical | 1 | $27 |
| Biocomposites Inc | 1 | $20 |
| ERMI LLC | 2 | $18 |
| Heron Therapeutics, Inc. | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $15 |
| Mallinckrodt Enterprises LLC | 1 | $15 |
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
Too few orthopaedic trauma providers in Iowato 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $210 |
| Cephalexin | 35 | $89 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Des Moines
- Matthew HerringDes Moines$100K
- Kamaldeen AderibigbeDes Moines$31K
- Khushdeep VigDes Moines$14K
- Matthew KaramIowa City$131K
- James NepolaIowa City$16K
- Matthew HogueIowa City$5K
- Michael WilleyIowa City$4K
- John MarshIowa City$3K
- James PapeCedar Rapids$97
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.