RxDoctor Payments Data

John Westkaemper, MD

Hand Surgery · Irving, TXNPI 1932149846

Payments from drug & device makers

$6,712in general payments, 2019–2025

Across 91 payments — averaging $73.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pylant Medical$2K
  • Advanced Orthopaedic Solutions, Inc.$2K
  • Endo Pharmaceuticals Inc.$640
  • Bioventus LLC$289
  • Endo USA, Inc.$267
  • Johnson & Johnson$236
  • plus $1K from 18 others

What the payments were for

  • Travel & lodging$1,10216%
  • Food & beverage$3,57953%
  • Education$2,03130%

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

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.

CompanyPaymentsTotal
Pylant Medical6$2,151
Advanced Orthopaedic Solutions, Inc.2$1,911
Endo Pharmaceuticals Inc.19$640
Bioventus LLC9$289
Endo USA, Inc.6$267
Johnson & Johnson(2 entities)11$236
Skeletal Dynamics Inc2$213
Electronic Waveform Lab, Inc.6$130
Vericel Corporation1$125
Arthrex3$105
Amgen(2 entities)5$84
Medartis Inc.1$81
Smith+Nephew4$80
ERMI LLC2$72
Medtronic1$67
Pacira Therapeutics, Inc.2$42
Zimmer Biomet2$40
Axogen2$38
Stryker1$35
Ferring Pharmaceuticals Inc.2$31
Innovation Technologies Inc1$25
Dynasplint Systems Inc.1$19
Molnlycke Health Care US, LLC1$19
CPM Medical Consultants, LLC1$12

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

$6,712 in reported general payments places this provider in the 60th percentile of 170 hand surgery providers in Texas.

See all hand surgery providers in Texas

Medicare billing

Part B allowed, 2024
$95,887
Medicare patients
276
Services billed
2,595

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen64$425
Meloxicam47$285

Paid to pharmacies, not to this prescriber.

Other hand surgery in Irving

See the full list for Texas

Where these figures come from

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