RxDoctor Payments Data

Joseph Buckwalter, MD

Orthopaedic Surgery · Iowa City, IANPI 1790777167

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $120,000 of the $131,585 with a category attached, or 91.2%. Musculoskeletal Transplant Foundation Inc. accounts for 97.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $31,152 and has fallen 50.5% since, to $15,425 in 2025. Among orthopaedic surgery clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$131,585in general payments, 2019–2025

Across 75 payments — averaging $1754.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Musculoskeletal Transplant Foundation Inc.$129K
  • Trimed, Inc.$1K
  • Sonex Health, Inc.$715
  • Zimmer Biomet$559
  • Johnson & Johnson$227
  • Acumed LLC$205
  • plus $261 from 3 others

What the payments were for

  • Speaking & faculty fees$120,00091%
  • Travel & lodging$9,6417%
  • Food & beverage$1,9431%

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

$131,585 in reported general payments places this provider in the 95th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa

Medicare billing

Part B allowed, 2024
$4,447
Medicare patients
13
Services billed
16

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

See the full list for Iowa

Where these figures come from

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