Joseph Signorelli, MD
Orthopaedic Surgery · Ashland, WINPI 1528165081
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $84,360 of the $136,502 with a category attached, or 61.8%. Smith+Nephew accounts for 100.0% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2020 at $49,387 and has fallen 99.9% since, to $26 in 2025. Among orthopaedic surgery clinicians in WI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 161 payments — averaging $847.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$136K
- Stryker$49
Across 20 payments — averaging $2339.05 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$47K
What the payments were for
- Consulting fees$30,60022%
- Speaking & faculty fees$84,36062%
- Travel & lodging$17,84713%
- Food & beverage$3,6953%
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 |
|---|---|---|
| Smith+Nephew | 159 | $136,453 |
| Stryker | 2 | $49 |
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.
- Journey II$37,689
- NAVIO$37,660
- REAL INTELLIGENCE$30,580
- Journey II BCS$29,584
- POLARSTEM$19,045
- Anthology$17,955
- REDAPT$17,955
- POLAR3$17,955
- CORI$14,253
- BIRMINGHAM HIP$13,455
- KNEE3 Software$10,145
- Legion Revision$9,645
- Navio Surgical System$9,454
- Journey II CR$7,659
- JOURNEY II UK$7,659
- Journey II XR$5,829
- Journey Uni$5,388
- Stride Unicondylar Knee System$5,100
- ZUK Uni$5,100
- OR3O Dual Mobility$4,045
How this compares
$136,502 in reported general payments places this provider in the 90th percentile of 498 orthopaedic surgery providers in Wisconsin.
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 | 53 | $2,378 |
| Dexamethasone | 94 | $528 |
| Diclofenac Sodium | 15 | $273 |
| Tramadol Hcl | 90 | $266 |
| Oxycodone Hcl | 75 | $235 |
| Omeprazole | 16 | $94 |
| Gabapentin | 21 | $67 |
| Amoxicillin | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Ashland
- Justin CumminsAshland$31K
- Robert ChurchillGrafton$7.7M
- Richard IllgenMadison$6.1M
- Jeffrey McLaughlinOshkosh$2M
- Clifford TribusMadison$1.4M
- Thomas ZdeblickMadison$1.1M
- Justin MitchellOnalaska$666K
- Christopher BibboStevens Point$615K
- Robert LimoniAppleton$514K
- Paul AndersonVerona$456K
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.