RxDoctor Payments Data

Daniel Firestone, MD

Orthopaedic Surgery · Omaha, NENPI 1285836049

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (59.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Ziehm-orthoscan, Inc. accounts for 60.8% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $5,122, 4.9 times the $1,041 reported in 2019.

$8,111in general payments, 2019–2025

Across 40 payments — averaging $202.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Ziehm-orthoscan, Inc.$5K
  • Arthrex$1K
  • Conetic Solutions, Inc.$1K
  • RSW Medical Company, Inc.$394
  • Stryker$123
  • AstraZeneca$87
  • plus $153 from 5 others

What the payments were for

  • Consulting fees$4,80059%
  • Travel & lodging$1,68721%
  • Food & beverage$1,13614%
  • Education$4886%

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
Ziehm-orthoscan, Inc.2$4,928
Arthrex15$1,232
Conetic Solutions, Inc.9$1,194
RSW Medical Company, Inc.4$394
Stryker4$123
AstraZeneca1$87
Novo Nordisk1$44
Ossur Americas, Inc.1$39
Zimmer Biomet1$27
Integra Lifesciences Corporation1$25
Smith+Nephew1$18

How this compares

$8,111 in reported general payments places this provider in the 70th percentile of 155 orthopaedic surgery providers in Nebraska.

See all orthopaedic surgery providers in Nebraska

Medicare billing

Part B allowed, 2024
$111,695
Medicare patients
362
Services billed
887

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.

Other orthopaedic surgery in Omaha

See the full list for Nebraska

Where these figures come from

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