RxDoctor Payments Data

David Strege, MD

Hand Surgery · Saint Louis, MONPI 1316974439

Payments from drug & device makers

What this record shows

This record is dominated by education: $3,244 of the $3,945 with a category attached, or 82.2%. 18 manufacturers reported payments, led by Arthrex at 50.4% of the total. Reporting peaked in 2019 at $3,304 and has fallen 97.7% since, to $76 in 2025. That places this record below the midpoint for hand surgery clinicians in MO, where the typical reported total is $4,263.

$3,945in general payments, 2019–2025

Across 33 payments — averaging $119.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$2K
  • Elite Orthopedics, LLC$1K
  • Endo Pharmaceuticals Inc.$172
  • Highridge Medical LLC$87
  • Endo USA, Inc.$76
  • Zimvie Inc.$46
  • plus $231 from 12 others

What the payments were for

  • Food & beverage$70118%
  • Education$3,24482%

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.

How this compares

$3,945 in reported general payments places this provider in the 45th percentile of 36 hand surgery providers in Missouri.

See all hand surgery providers in Missouri

Medicare billing

Part B allowed, 2024
$138,856
Medicare patients
320
Services billed
7,483

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen118$831
Meloxicam80$218
Diclofenac Sodium16$198
Cefadroxil11$108
Tramadol Hcl18$61

Paid to pharmacies, not to this prescriber.

Other hand surgery in Saint Louis

See the full list for Missouri

Where these figures come from

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