Dominic Kleinhenz, MD
Orthopaedic Surgery · East Providence, RINPI 1275970303
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $112,261 of the $163,859 with a category attached, or 68.5%. Spineart SA accounts for 68.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $84,603 and has fallen 99.3% since, to $550 in 2025. Among orthopaedic surgery clinicians in RI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 381 payments — averaging $430.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spineart SA$112K
- Stryker$28K
- Spineart USA Inc$18K
- Globus Medical$4K
- Medicrea USA, Corp.$681
- Orthofix Medical, Inc.$300
- plus $640 from 4 others
What the payments were for
- Royalty or licence$112,26169%
- Consulting fees$29,16218%
- Travel & lodging$10,8147%
- Food & beverage$10,6026%
- Education$1,0201%
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 |
|---|---|---|
| Spineart SA | 2 | $112,261 |
| Stryker | 280 | $27,926 |
| Spineart USA Inc | 30 | $18,216 |
| Globus Medical(2 entities) | 36 | $3,835 |
| Medicrea USA, Corp. | 12 | $681 |
| Orthofix Medical, Inc. | 4 | $300 |
| Arthrex | 5 | $219 |
| Spineology Inc. | 2 | $146 |
| Medtronic(2 entities) | 4 | $140 |
| VB Spine LLC | 6 | $135 |
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.
- Juliet LL Ti-Life$112,261
- EVEREST SPINAL SYSTEM$16,271
- Perla TL$9,662
- CAPRI CORPECTOMY CAGE SYSTEM$6,500
- MESA SPINAL SYSTEM$6,500
- NIAGARA LATERAL ACCESS SYSTEM$3,500
- XLIF$1,710
- XIA$1,694
- TRITANIUM$1,229
- SERRATO$1,029
- Excelsius - GPS$917
- AERO$680
- ES2$680
- PASS-LP$527
- UNiD$527
- Scarlet AL-T$500
- BIO4$468
- CASCADIA INTERBODY SYSTEM$332
- ExcelsiusGPS Robotic Navigation System$302
- YUKON$254
How this compares
$163,859 in reported general payments places this provider in the 95th percentile of 124 orthopaedic surgery providers in Rhode Island.
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 |
|---|---|---|
| Gabapentin | 55 | $605 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $353 |
| Cyclobenzaprine Hcl | 25 | $285 |
| Morphine Sulfate ErMorphine Sulfate | 21 | $170 |
| Pregabalin | 16 | $152 |
| Oxycodone Hcl | 27 | $146 |
| Methocarbamol | 15 | $122 |
| Tramadol Hcl | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in East Providence
- Alan DanielsEast Providence$1.9M
- Valentin AntociEast Providence$210K
- Bassel DieboEast Providence$138K
- Andrew VegaEast Providence$54K
- Ferras AlbitarEast Providence$53K
- Roy AaronEast Providence$37K
- David TapscottEast Providence$34K
- Ryan HoffmanEast Providence$24K
- Darshan ShahEast Providence$13K
- Stephen MarcaccioEast Providence$12K
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.