Jeffrey Milles, MD
Adult Reconstructive Orthopaedic Surgery · Columbia, MONPI 1194164244
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,058 of the $4,942 with a category attached, or 61.9%. Zimmer Biomet accounts for 90.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2022 at $1,867 and has fallen 79.3% since, to $387 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in MO, where the typical reported total is $10,569.
Across 45 payments — averaging $109.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$4K
- Johnson & Johnson$154
- Smith+Nephew$78
- Stryker$78
- Biocomposites Inc$66
- Heraeus Medical, LLC.$53
- plus $52 from 2 others
What the payments were for
- Travel & lodging$3,05862%
- Food & beverage$1,06622%
- Education$81917%
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 |
|---|---|---|
| Zimmer Biomet | 34 | $4,462 |
| Johnson & Johnson | 3 | $154 |
| Smith+Nephew | 1 | $78 |
| Stryker | 2 | $78 |
| Biocomposites Inc | 1 | $66 |
| Heraeus Medical, LLC. | 1 | $53 |
| Pacira Therapeutics, Inc. | 2 | $27 |
| Elite Orthopedics, LLC | 1 | $24 |
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.
- Avenir$3,017
- Persona$562
- Persona Partial Knee System$422
- Hips-None$397
- Comprehensive Shoulder$397
- ROSA-Knee$114
- Accelero-None$104
How this compares
$4,942 in reported general payments places this provider in the 25th 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.
Other adult reconstructive orthopaedic surgery in Columbia
- Thomas AletoColumbia$669K
- Ajay AggarwalColumbia$78K
- Samuel ThompsonColumbia$30K
- James KeeneyColumbia$22K
- Alan AnzColumbia$9K
- Elie GhanemColumbia$8K
- 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.