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Christopher Palmer, DO

Orthopaedic Surgery · Saint Louis, MONPI 1922362565

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $35,338 of the $52,714 with a category attached, or 67.0%. 18 manufacturers reported payments, led by Stryker at 36.8% of the total. 2025 is the largest year on record at $29,126, more than ten times the $198 reported in 2019. Among orthopaedic surgery 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.

$52,714in general payments, 2019–2025

Across 259 payments — averaging $203.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$19K
  • Convatec Inc.$18K
  • Johnson & Johnson$8K
  • Medical Device Business Services, Inc.$6K
  • Elite Orthopedics, LLC$733
  • Zimmer Biomet$344
  • plus $827 from 12 others

What the payments were for

  • Consulting fees$35,33867%
  • Travel & lodging$4,9549%
  • Food & beverage$12,34023%
  • Education$830%

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.

CompanyPaymentsTotal
Stryker203$19,423
Convatec Inc.12$17,937
Johnson & Johnson8$7,628
Medical Device Business Services, Inc.6$5,822
Elite Orthopedics, LLC5$733
Zimmer Biomet7$344
Arthrex1$178
Davol Inc.4$175
Skeletal Dynamics Inc2$146
Ossio Inc1$142
Arthrosurface Incorporated1$36
Pacira Pharmaceuticals Incorporated2$35
Amgen2$23
Bioventus LLC1$22
Solventum Corporation1$19
EBI, LLC1$19
Sanara Medtech Inc.1$17
Pacira Therapeutics, Inc.1$16

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

$52,714 in reported general payments places this provider in the 90th percentile of 455 orthopaedic surgery providers in Missouri.

See all orthopaedic surgery providers in Missouri →

Medicare billing

Part B allowed, 2024
$370,350
Medicare patients
381
Services billed
2,040

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
Celecoxib342$9,915
Pregabalin281$4,623
Diclofenac Sodium317$2,898
Doxycycline Monohydrate289$2,645
Oxycodone Hcl445$2,371
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen167$1,499
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen181$1,437
Doxycycline Hyclate121$1,348
Tizanidine Hcl144$688
Clindamycin Hcl126$591
Cyclobenzaprine Hcl61$431
Amoxicillin416$406
Tramadol Hcl117$293
Ciprofloxacin Hcl25$241
Methylprednisolone33$179

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Saint Louis

See the full list for Missouri →

Where these figures come from

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