RxDoctor Payments Data

Christopher Dy, MD

Surgery of the Hand · Saint Louis, MONPI 1477712933

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $66,757 of the $105,659 with a category attached, or 63.2%. 15 manufacturers reported payments, led by Medical Device Business Services, Inc. at 41.0% of the total. Among surgery of the hand clinicians in MO 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.

$105,659in general payments, 2019–2025

Across 82 payments — averaging $1288.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medical Device Business Services, Inc.$43K
  • Checkpoint Surgical, Inc$42K
  • Axogen$15K
  • Sonex Health, Inc.$2K
  • Elite Orthopedics, LLC$1K
  • Arthrex$1K
  • plus $1K from 9 others
$28,200in research payments, 2019–2025

Across 2 payments — averaging $14,100 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.

  • Sonex Health, Inc.$28K

What the payments were for

  • Consulting fees$66,75763%
  • Speaking & faculty fees$26,32525%
  • Travel & lodging$5,8286%
  • Food & beverage$5,4495%
  • Education$1,3001%

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

$105,659 in reported general payments places this provider in the 90th percentile of 30 surgery of the hand providers in Missouri.

See all surgery of the hand providers in Missouri

Medicare billing

Part B allowed, 2024
$124,144
Medicare patients
340
Services billed
7,271

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
Gabapentin27$595
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen63$373
Meloxicam164$342
Acetaminophen-CodeineAcetaminophen With Codeine73$220
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen36$200
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim13$43

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Saint Louis

See the full list for Missouri

Where these figures come from

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