Christopher McAndrew, MD
Orthopaedic Trauma · Saint Louis, MONPI 1336354760
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (47.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 75.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2023 at $6,226 and has fallen 58.4% since, to $2,589 in 2025.
Across 121 payments — averaging $234.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$21K
- Johnson & Johnson$2K
- Stryker$2K
- Osteocentric Technologies, Inc.$1K
- Smith+Nephew$539
- Elite Orthopedics, LLC$362
- plus $987 from 8 others
Across 4 payments — averaging $4011.25 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.
- Zimmer Biomet$16K
What the payments were for
- Speaking & faculty fees$13,43247%
- Travel & lodging$8,05728%
- Food & beverage$6,85724%
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 |
|---|---|---|
| Synthes GmbH | 27 | $21,277 |
| Johnson & Johnson | 44 | $2,405 |
| Stryker | 28 | $1,603 |
| Osteocentric Technologies, Inc. | 3 | $1,174 |
| Smith+Nephew | 4 | $539 |
| Elite Orthopedics, LLC | 3 | $362 |
| Acera Surgical, Inc. | 3 | $294 |
| Integrum Inc. | 1 | $133 |
| Acumed LLC | 1 | $133 |
| Zimmer Biomet | 2 | $114 |
| Medical Device Business Services, Inc. | 2 | $106 |
| Checkpoint Surgical, Inc | 1 | $99 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $94 |
| Novo Nordisk | 1 | $14 |
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.
- NA$967
- Unifi Technology$960
- T2$428
- EVOS$387
- TFN-Advance$383
- Restrata Wound Matrix$280
- ACUMED$266
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$245
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$175
- PANGEA$165
- TRIGEN InterTAN$153
- GAMMA$142
- AXSOS$134
- OPRA Implant System$133
- LCP$125
- TFN ADVANCED$120
- ViviGen$120
- DHS$115
- EVOS MINI$115
How this compares
$28,346 in reported general payments places this provider in the 70th percentile of 28 orthopaedic trauma 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 | 24 | $217 |
| Meloxicam | 11 | $42 |
| Tramadol Hcl | 11 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Saint Louis
- Marschall BerkesSaint Louis$101K
- Mitchel ObeySaint Louis$33K
- Mandip SinghSaint Louis$18K
- Jenna WilsonSaint Louis$18K
- Gregory AngelidesSaint Louis$8K
- Justin TilanSaint Louis$7K
- Rick WangSaint Louis$6K
- Spencer KnightSaint Louis$6K
- Eric BarnardSaint Louis$4K
- Seth GenglerSaint Louis$1K
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.