Elie Ghanem, MD
Adult Reconstructive Orthopaedic Surgery · Columbia, MONPI 1932306685
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $6,546 of the $7,837 with a category attached, or 83.5%. Davol Inc. accounts for 85.1% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $6,751, more than ten times the $402 reported in 2019. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in MO, where the typical reported total is $10,569.
Across 34 payments — averaging $230.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Davol Inc.$7K
- Stryker$348
- Heraeus Medical, LLC.$309
- Zimmer Biomet$219
- Biom'up SA$91
- Smith+Nephew$88
- plus $109 from 4 others
Across 2 payments — averaging $12,968 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Biotissue Holdings Inc.$26K
What the payments were for
- Consulting fees$6,54684%
- Food & beverage$1,29216%
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 |
|---|---|---|
| Davol Inc. | 2 | $6,673 |
| Stryker | 10 | $348 |
| Heraeus Medical, LLC. | 6 | $309 |
| Zimmer Biomet | 5 | $219 |
| Biom'up SA | 1 | $91 |
| Smith+Nephew | 6 | $88 |
| Heron Therapeutics, Inc. | 1 | $64 |
| Elite Orthopedics, LLC | 1 | $24 |
| Johnson & Johnson | 1 | $12 |
| Omnilife Science, Inc | 1 | $9 |
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
$7,837 in reported general payments places this provider in the 35th percentile of 36 adult reconstructive orthopaedic surgery providers in Missouri.
See all adult reconstructive orthopaedic surgery providers in Missouri →
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 100 | $881 |
| Oxycodone Hcl | 82 | $499 |
| Tramadol Hcl | 123 | $405 |
| Meloxicam | 38 | $83 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Columbia
- Thomas AletoColumbia$669K
- Ajay AggarwalColumbia$78K
- Samuel ThompsonColumbia$30K
- James KeeneyColumbia$22K
- Alan AnzColumbia$9K
- Jeffrey MillesColumbia$5K
- David HockmanColumbia$585
- Benjamin HoltColumbia$104
- Peter BuchertColumbia$46
- Robert BarrackSaint Louis$10.6M
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.