Has Coles Lhommedieu, MD received payments from drug or device companies?

Yes. Drug and device makers reported $73,159 in general payments to Coles Lhommedieu, MD across 71 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Coles Lhommedieu, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Coles Lhommedieu, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Coles Lhommedieu, MD

Orthopaedic Surgery · Saint Louis, MONPI 1487603320

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $53,338 of the $73,159 with a category attached, or 72.9%. Limacorporate S.p.a. accounts for 61.7% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2020 at $26,953 and has fallen 99.6% since, to $114 in 2025. 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.

$73,159in general payments, 2019–2025

Across 71 payments — averaging $1030.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Limacorporate S.p.a.$45K
Zimmer Biomet$25K
Lima USA, Inc.$2K
Encore Medical, LP$269
Stryker$138
Elite Orthopedics, LLC$128
plus $149 from 8 others

What the payments were for

Royalty or licence$13,52618%
Consulting fees$53,33873%
Travel & lodging$3,5225%
Food & beverage$1,7072%
Education$1,0671%

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
Limacorporate S.p.a.	19	$45,126
Zimmer Biomet	22	$24,925
Lima USA, Inc.	14	$2,423
Encore Medical, LP	2	$269
Stryker	2	$138
Elite Orthopedics, LLC	3	$128
Pacira Therapeutics, Inc.	2	$29
Johnson & Johnson	1	$26
Pacira Pharmaceuticals Incorporated	1	$21
Deroyal Industries, Inc.	1	$17
Radius Health, Inc.	1	$15
Ultragenyx Pharmaceutical Inc.	1	$15
Fidia Pharma USA Inc.	1	$14
Smith+Nephew	1	$12

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.

Physica$22,455
Persona$17,342
PHYSICA CR$11,173
AMF TT CONES$9,175
PD-Knee-New Product$5,231
LANTERN SURGICAL ASSISTANT$4,351
NexGen$3,875
Vanguard$3,875
Knees Product Portfolio$1,514
Ortho - None$775
Hips-None$729
Avenir$339
DJO SURGICAL$154
GMRS$114

How this compares

$73,159 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

$314,202

Medicare patients

480

Services billed

15,355

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
EliquisApixaban	15	$8,241
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	540	$5,652
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	216	$2,238
Meloxicam	1,041	$2,164
Tizanidine Hcl	420	$1,391
Ondansetron OdtOndansetron	45	$718
Tramadol Hcl	114	$428
Cephalexin	56	$302
Celecoxib	36	$277
Oxycodone Hcl	19	$211
Cyclobenzaprine Hcl	67	$185
Diclofenac Sodium	11	$111
Methylprednisolone	16	$101
Clindamycin Hcl	14	$78

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Saint Louis

Jay KeenerSaint Louis$2.2M
John WatsonSaint Louis$1.7M
Peter ChalmersSaint Louis$603K
Lionel MetzSaint Louis$428K
Jon CarlsonSaint Louis$354K
Alexander AleemSaint Louis$230K
Rhoderic MirkinSaint Louis$209K
Sridhar PinnamaneniSaint Louis$188K
Kenneth SmithSaint Louis$119K
Benjamin ZmistowskiSaint Louis$118K

See the full list for Missouri →

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.

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