Joseph Byrne, MD
Orthopaedic Surgery · Perryville, MONPI 1861685463
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,283 of the $4,274 with a category attached, or 76.8%. 24 manufacturers reported payments, led by Stryker at 47.9% of the total. 2025 is the largest year on record at $1,413, 3.3 times the $431 reported in 2019. That places this record below the midpoint for orthopaedic surgery clinicians in MO, where the typical reported total is $4,809.
Across 96 payments — averaging $44.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Zimmer Biomet$1K
- Johnson & Johnson$309
- Elite Orthopedics, LLC$180
- Smith+Nephew$177
- Pacira Pharmaceuticals Incorporated$93
- plus $459 from 18 others
What the payments were for
- Travel & lodging$80819%
- Food & beverage$3,28377%
- Education$1834%
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 |
|---|---|---|
| Stryker | 39 | $2,049 |
| Zimmer Biomet | 4 | $1,007 |
| Johnson & Johnson | 11 | $309 |
| Elite Orthopedics, LLC | 7 | $180 |
| Smith+Nephew | 9 | $177 |
| Pacira Pharmaceuticals Incorporated | 4 | $93 |
| Medical Device Business Services, Inc. | 1 | $80 |
| Ferring Pharmaceuticals Inc. | 3 | $45 |
| Baudax Bio Inc. | 2 | $35 |
| ERMI LLC | 1 | $30 |
| Molnlycke Health Care US, LLC | 1 | $29 |
| Pacira Therapeutics, Inc. | 2 | $28 |
| Solventum Corporation | 1 | $24 |
| Pfizer | 1 | $22 |
| Amgen | 1 | $20 |
| Bioventus LLC | 1 | $20 |
| Orthalign Inc | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Highridge Medical LLC | 1 | $17 |
| Sanara Medtech Inc. | 1 | $16 |
| Medtronic | 1 | $16 |
| Heraeus Medical, LLC. | 1 | $16 |
| Davol Inc. | 1 | $13 |
| Arteriocyte Medical Systems, Inc. | 1 | $11 |
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
$4,274 in reported general payments places this provider in the 45th percentile of 455 orthopaedic surgery providers in Missouri.
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 |
|---|---|---|
| Celecoxib | 18 | $705 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 88 | $480 |
| Naproxen | 26 | $322 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $191 |
| Tramadol Hcl | 34 | $86 |
| Methocarbamol | 12 | $77 |
| Ondansetron OdtOndansetron | 19 | $77 |
| Ondansetron Hcl | 14 | $65 |
| Meloxicam | 36 | $59 |
| Amoxicillin | 15 | $7 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Perryville
- Matthew SmithColumbia$2.9M
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Katherine BurnsBridgeton$491K
- Jeremy StattonLees Summit$457K
- Lionel MetzSaint Louis$428K
- Michael HellmanLees Summit$365K
- Jon CarlsonSaint Louis$354K
- Akin CilKansas City$318K
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.