RxDoctor Payments Data

Daniel Mesko, DO

Adult Reconstructive Orthopaedic Surgery · Lansing, MINPI 1164788378

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $79,996 of the $98,656 with a category attached, or 81.1%. Stryker accounts for 76.9% of it on its own, with 29 other manufacturers making up the rest.

$98,656in general payments, 2019–2025

Across 208 payments — averaging $474.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$76K
  • Depuy Synthes Products, Inc.$13K
  • Encore Medical, LP$2K
  • Johnson & Johnson$2K
  • DJO, LLC$2K
  • Omnilife Science, Inc$1K
  • plus $4K from 24 others

What the payments were for

  • Consulting fees$79,99681%
  • Travel & lodging$9,94410%
  • Food & beverage$8,7169%

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.

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

$98,656 in reported general payments places this provider in the 75th percentile of 35 adult reconstructive orthopaedic surgery providers in Michigan.

See all adult reconstructive orthopaedic surgery providers in Michigan

Medicare billing

Part B allowed, 2024
$194,403
Medicare patients
293
Services billed
1,561

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
Mupirocin265$1,604
Chlorhexidine Gluconate263$1,124
Cephalexin195$1,061
Meloxicam346$1,008
Celecoxib63$701
Oxycodone Hcl39$147
Methylprednisolone18$127
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen12$104
Tramadol Hcl31$60
Clindamycin Hcl13$49

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Lansing

See the full list for Michigan

Where these figures come from

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