John Femino, MD
Orthopaedic Surgery · Iowa City, IANPI 1467421487
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (57.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 3 manufacturers reported payments, led by Wardlow Enterprises at 57.3% of the total. Reporting peaked in 2020 at $1,359 and has fallen 52.4% since, to $648 in 2024.
Across 15 payments — averaging $228.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Wardlow Enterprises$2K
- Paragon 28, Inc.$1K
- Arthrex$90
Across 1 payment — averaging $102,350 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.
- Arthrex$102K
What the payments were for
- Travel & lodging$84225%
- Food & beverage$62518%
- Education$1,96757%
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 |
|---|---|---|
| Wardlow Enterprises | 2 | $1,967 |
| Paragon 28, Inc. | 12 | $1,378 |
| Arthrex | 1 | $90 |
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
$3,434 in reported general payments places this provider in the 60th percentile of 219 orthopaedic surgery providers in Iowa.
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 orthopaedic surgery in Iowa City
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
- Charles ClarkIowa City$50K
- Dallas VanornyIowa City$37K
- Joseph GalvinIowa City$28K
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.