Daniel Lahr, MD
Orthopaedic Surgery · Cedar Rapids, IANPI 1144295858
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.8%), food and beverage and other — rather than concentrated in one kind of arrangement. Stryker accounts for 62.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2024 at $7,506 and has fallen 52.5% since, to $3,566 in 2025.
Across 93 payments — averaging $160.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$9K
- Johnson & Johnson$4K
- Prism Medical$593
- Integra Lifesciences Corporation$273
- Supreme Orthopedic Systems, LLC$127
- Biocomposites Inc$42
- plus $195 from 8 others
What the payments were for
- Travel & lodging$6,40243%
- Food & beverage$5,45136%
- Other$3,11621%
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 |
|---|---|---|
| Stryker | 62 | $9,289 |
| Johnson & Johnson(2 entities) | 15 | $4,450 |
| Prism Medical | 2 | $593 |
| Integra Lifesciences Corporation | 3 | $273 |
| Supreme Orthopedic Systems, LLC | 1 | $127 |
| Biocomposites Inc | 1 | $42 |
| Biotissue Holdings Inc. | 1 | $38 |
| Abbott | 2 | $30 |
| Daiichi Sankyo Inc. | 1 | $27 |
| Pfizer | 1 | $27 |
| Merck | 1 | $22 |
| Encore Medical, LP | 1 | $19 |
| Bioventus LLC | 1 | $17 |
| Vertex | 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.
- INFINITY$2,983
- Actishield$1,638
- PANGEA$944
- PROPHECY$837
- NA$700
- INBONE$567
- VA-LCP$442
- VARIAX$440
- HOFFMANN$170
- TITAN-SHOULDER$154
- ATTUNE$138
- ALLOFIBER$137
- T2 ALPHA$126
- GAMMA$126
- LCP$124
- AUGMENT INJECTABLE$124
- Fibulink$112
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$101
- PANTA NAIL$101
- TOTAL FOOT SYSTEM$101
How this compares
$14,969 in reported general payments places this provider in the 85th percentile of 219 orthopaedic surgery providers in Iowa.
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 |
|---|---|---|
| Diclofenac Sodium | 58 | $429 |
| Oxycodone Hcl | 84 | $415 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $171 |
| Mupirocin | 12 | $125 |
| Naproxen | 35 | $117 |
| Cephalexin | 17 | $113 |
| Methylprednisolone | 12 | $71 |
| Tramadol Hcl | 20 | $60 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $35 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Cedar Rapids
- Gregory HillCedar Rapids$9K
- Blake EybergCedar Rapids$9K
- Matthew WhiteCedar Rapids$8K
- Andrea Stitgen PolicanoCedar Rapids$8K
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
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.