RxDoctor Payments Data

John Krause, MD

Orthopedic Surgery · Chesterfield, MONPI 1902809577

Payments from drug & device makers

What this record shows

The money is spread across several categories — other (42.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by International Rehabilitative Sciences, Inc at 42.7% of the total. Reporting peaked in 2024 at $3,459 and has fallen 98.4% since, to $56 in 2025.

$6,895in general payments, 2019–2025

Across 49 payments — averaging $140.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • International Rehabilitative Sciences, Inc$3K
  • Elite Orthopedics, LLC$2K
  • Zimmer Biomet$683
  • Stryker$363
  • Arthrex$358
  • Paragon 28, Inc.$161
  • plus $796 from 10 others

What the payments were for

  • Travel & lodging$5248%
  • Food & beverage$2,22632%
  • Education$1,20017%
  • Other$2,94543%

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

Too few orthopedic surgery providers in Missourito place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$24,837
Medicare patients
59
Services billed
498

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

DrugClaimsCost to plans & patients
Acetaminophen-CodeineAcetaminophen With Codeine13$104

Paid to pharmacies, not to this prescriber.

Other orthopedic surgery in Chesterfield

See the full list for Missouri

Where these figures come from

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