Joseph Tramer, MD
Sports Medicine · Garfield Heights, OHNPI 1447782347
Payments from drug & device makers
What this record shows
This record is dominated by education: $29,650 of the $32,632 with a category attached, or 90.9%. Smith+Nephew accounts for 71.9% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $15,501 and has fallen 98.5% since, to $234 in 2025. Among sports medicine clinicians in OH 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 37 payments — averaging $881.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$23K
- Pinnacle, Inc$5K
- Evolution Surgical, Inc$4K
- Linvatec Corporation$147
- Exactech, Inc.$141
- Johnson & Johnson$109
- plus $165 from 5 others
What the payments were for
- Travel & lodging$1,4004%
- Food & beverage$1,5825%
- Education$29,65091%
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 | 14 | $23,453 |
| Pinnacle, Inc | 6 | $4,905 |
| Evolution Surgical, Inc | 8 | $3,712 |
| Linvatec Corporation | 1 | $147 |
| Exactech, Inc. | 1 | $141 |
| Johnson & Johnson | 1 | $109 |
| Vericel Corporation | 2 | $66 |
| Zimmer Biomet | 1 | $36 |
| Stryker | 1 | $30 |
| Nexus Medical Technologies LLC | 1 | $20 |
| Rock Medical Orthopedics, Inc. | 1 | $13 |
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
$32,632 in reported general payments places this provider in the 90th percentile of 278 sports medicine providers in Ohio.
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 |
|---|---|---|
| Meloxicam | 146 | $394 |
| Diclofenac Sodium | 11 | $68 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Garfield Heights
- David FlaniganColumbus$915K
- Thomas EllisDublin$427K
- Paul SaluanCleveland$367K
- Vincent SammarcoCincinnati$361K
- Jovan LaskovskiAkron$337K
- Julie BishopColumbus$322K
- Dominic KingCleveland$233K
- Michael SalataCleveland$212K
- Jason GeninLorain$115K
- Christopher KaedingColumbus$113K
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.