David Trettin, MD
Sports Medicine · Monroe, LANPI 1902881758
Payments from drug & device makers
What this record shows
This record is dominated by education: $399 of the $617 with a category attached, or 64.6%. Midsouth Orthopedics Inc. accounts for 64.6% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $414 and has fallen 95.9% since, to $17 in 2025. That places this record below the midpoint for sports medicine clinicians in LA, where the typical reported total is $3,045.
Across 11 payments — averaging $56.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Midsouth Orthopedics Inc.$399
- Johnson & Johnson$87
- Stryker$41
- AbbVie$38
- Amgen$29
- Pfizer$24
What the payments were for
- Food & beverage$21835%
- Education$39965%
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 |
|---|---|---|
| Midsouth Orthopedics Inc. | 1 | $399 |
| Johnson & Johnson | 2 | $87 |
| Stryker | 2 | $41 |
| AbbVie | 2 | $38 |
| Amgen | 2 | $29 |
| Pfizer | 2 | $24 |
How this compares
$617 in reported general payments places this provider in the 25th percentile of 82 sports medicine providers in Louisiana.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 99 | $834 |
| Enoxaparin Sodium | 11 | $769 |
| Meloxicam | 169 | $437 |
| Celecoxib | 18 | $399 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 30 | $228 |
| Methylprednisolone | 13 | $72 |
| Tramadol Hcl | 14 | $22 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Monroe
- White GravesMonroe$10K
- Jeffrey CountsMonroe$7K
- Felix SavoieNew Orleans$1.4M
- Misty SuriNew Orleans$1.2M
- Michael ObrienNew Orleans$391K
- Brett CascioLake Charles$82K
- Brian GodshawNew Orleans$69K
- Andrew GottschalkJefferson$45K
- Michael LeddyAlexandria$44K
- Steven JonesHammond$38K
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.