RxDoctor Payments Data

Jaimie Shores, MD

Surgery of the Hand · Chesterfield, MONPI 1972705663

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (48.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Axogen accounts for 96.2% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $28,384 and has fallen 71.0% since, to $8,232 in 2025.

$60,828in general payments, 2019–2025

Across 82 payments — averaging $741.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Axogen$58K
  • Checkpoint Surgical, Inc$1K
  • Ossur Americas, Inc.$429
  • Biocircuit Technologies Inc$196
  • Endo USA, Inc.$127
  • Stryker$74
  • plus $364 from 8 others
$28,874in research payments, 2019–2025

Across 8 payments — averaging $3609.30 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.

  • Theratechnologies Inc.$21K
  • Axogen$8K

What the payments were for

  • Consulting fees$17,80029%
  • Speaking & faculty fees$29,27548%
  • Travel & lodging$7,93613%
  • Food & beverage$5,81710%

General payments by program year

19
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.

CompanyPaymentsTotal
Axogen58$58,497
Checkpoint Surgical, Inc2$1,141
Ossur Americas, Inc.3$429
Biocircuit Technologies Inc2$196
Endo USA, Inc.5$127
Stryker2$74
Mentor Worldwide LLC1$69
Integra Lifesciences Corporation2$68
Elite Orthopedics, LLC1$52
Acumed LLC1$45
Vertex2$37
ERMI LLC1$36
Smith+Nephew1$34
Bioventus LLC1$23

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

$60,828 in reported general payments places this provider in the 85th percentile of 30 surgery of the hand providers in Missouri.

See all surgery of the hand providers in Missouri

Medicare billing

Part B allowed, 2024
$45,248
Medicare patients
117
Services billed
374

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
Ibuprofen15$66

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Chesterfield

See the full list for Missouri

Where these figures come from

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