John Heineman, MD
Hand Surgery · Des Moines, IANPI 1629414388
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Supreme Orthopedic Systems, LLC at 46.5% of the total. Reporting peaked in 2019 at $1,888 and has fallen 91.5% since, to $161 in 2025.
Across 45 payments — averaging $81.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$2K
- Johnson & Johnson$602
- Inspire Medical Systems, Inc.$546
- Acumed LLC$268
- Stryker$131
- Integra Lifesciences Corporation$129
- plus $278 from 10 others
What the payments were for
- Travel & lodging$140%
- Food & beverage$1,93953%
- Education$1,69646%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Supreme Orthopedic Systems, LLC | 1 | $1,696 |
| Johnson & Johnson | 6 | $602 |
| Inspire Medical Systems, Inc. | 14 | $546 |
| Acumed LLC | 4 | $268 |
| Stryker | 5 | $131 |
| Integra Lifesciences Corporation | 1 | $129 |
| Axogen | 3 | $77 |
| Kerecis Limited | 2 | $41 |
| Polynovo North America LLC | 2 | $32 |
| Alnylam Pharmaceuticals Inc. | 1 | $23 |
| Summit Surgical Corp. | 1 | $23 |
| Endo Pharmaceuticals Inc. | 1 | $20 |
| Smith+Nephew | 1 | $18 |
| Endo USA, Inc. | 1 | $15 |
| Sonex Health, Inc. | 1 | $14 |
| Prism Medical | 1 | $14 |
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.
- NA$368
- Inspire$230
- Acu-Loc Wrist Plating System$140
- Hand Fracture System$140
- MODULAR HAND SYSTEM$140
- Osteotomy System$140
- FIBERGRAFT BG Morsels$133
- FIBERGRAFT Aeridyan Matrix$133
- NEURAGEN$129
- TENOGLIDE$129
How this compares
$3,649 in reported general payments places this provider in the 70th percentile of 24 hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 72 | $335 |
| Gabapentin | 40 | $288 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 49 | $238 |
| Tramadol Hcl | 67 | $102 |
| Pregabalin | 15 | $65 |
| Oxycodone Hcl | 15 | $63 |
| Cephalexin | 12 | $52 |
| Meloxicam | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Des Moines
- Shane CookDes Moines$4K
- Tyson CobbDavenport$155K
- Melissa Young-SzalayWest Des Moines$16K
- Betsey BeanAmes$13K
- Brock ReiterAnkeny$9K
- Peter ChimentiCedar Rapids$5K
- Joseph BuckwalterIowa City$4K
- Jonathan WinstonBettendorf$3K
- Jeffrey RodgersWest Des Moines$2K
- Ericka LawlerNorth Liberty$2K
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.