Jay Keener, MD
Orthopaedic Surgery · Saint Louis, MONPI 1689692642
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,731,887 of the $2,182,696 with a category attached, or 79.3%. Stryker accounts for 92.4% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $831,038, more than ten times the $81,407 reported in 2019. Among orthopaedic surgery clinicians in MO 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 545 payments — averaging $4004.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2M
- Shoulder Innovations, Inc.$164K
- Elite Orthopedics, LLC$2K
- Smith+Nephew$72
Across 6 payments — averaging $750.74 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.
- Stryker$5K
What the payments were for
- Royalty or licence$1,731,88779%
- Consulting fees$365,37017%
- Speaking & faculty fees$49,6612%
- Travel & lodging$26,0951%
- Food & beverage$7,8440%
- Education$1,8390%
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 |
|---|---|---|
| Stryker(2 entities) | 509 | $2,016,631 |
| Shoulder Innovations, Inc. | 27 | $164,359 |
| Elite Orthopedics, LLC | 8 | $1,634 |
| Smith+Nephew | 1 | $72 |
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.
- AEQUALIS PERFORM REVERSED$769,255
- AEQUALIS PERFORM$645,093
- TORNIER PERFORM REVERSED GLENOID$427,056
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$195,437
- InSet System$120,988
- TORNIER PERFORM ANATOMIC AUGMENTED GLENOID$106,830
- TORNIER PERFORM REVERSED AUGMENTED GLENOID$94,905
- SIMPLICITI$56,180
- R&D UPPER EXT$41,976
- BLUEPRINT PSI SYSTEM$26,621
- REUNION$21,862
- Shoulder Innovations Humeral Short Stem System$18,428
- NEW PRODUCT DEVELOPMENT$2,253
- AEQUALIS ASCEND FLEX$1,694
- AEQUALIS$1,607
- UPPER EXTREMITIES$1,590
- TORNIER FLEX$1,590
- R&D EXTREMITIES$1,185
- AXSOS$1,060
- VARIAX$1,060
How this compares
$2,182,696 in reported general payments places this provider in the 95th percentile of 455 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 |
|---|---|---|
| Oxycodone Hcl | 131 | $945 |
| Tramadol Hcl | 48 | $138 |
| Amoxicillin | 86 | $115 |
| Clindamycin Hcl | 16 | $36 |
| Meloxicam | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Saint Louis
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Lionel MetzSaint Louis$428K
- Jon CarlsonSaint Louis$354K
- Alexander AleemSaint Louis$230K
- Rhoderic MirkinSaint Louis$209K
- Sridhar PinnamaneniSaint Louis$188K
- Kenneth SmithSaint Louis$119K
- Benjamin ZmistowskiSaint Louis$118K
- David MingesSaint Louis$95K
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.