RxDoctor Payments Data

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.

$4,942in general payments, 2019–2025

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

19
20
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.

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

$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

Part B allowed, 2024
$12,937
Medicare patients
12
Services billed
18

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

See the full list for Missouri

Where these figures come from

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