Joshua Carter, MD
Orthopaedic Surgery · Indianapolis, INNPI 1073755617
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $46,874 of the $57,053 with a category attached, or 82.2%. Total Joint Orthopedics, Inc. accounts for 61.7% of it on its own, with 9 other manufacturers making up the rest. Among orthopaedic surgery clinicians in IN 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 63 payments — averaging $905.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Total Joint Orthopedics, Inc.$35K
- Encore Medical, LP$12K
- Exactech, Inc.$8K
- KCI USA, Inc.$850
- Medacta USA, Inc.$246
- Engage Uni, LLC$114
- plus $187 from 4 others
What the payments were for
- Royalty or licence$46,87482%
- Consulting fees$8,47515%
- Travel & lodging$1,0092%
- Food & beverage$5821%
- Gifts$1140%
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 |
|---|---|---|
| Total Joint Orthopedics, Inc. | 32 | $35,203 |
| Encore Medical, LP | 14 | $11,975 |
| Exactech, Inc. | 9 | $8,479 |
| KCI USA, Inc. | 1 | $850 |
| Medacta USA, Inc. | 1 | $246 |
| Engage Uni, LLC | 1 | $114 |
| Zimmer Biomet | 1 | $72 |
| Stryker | 1 | $52 |
| Pacira Pharmaceuticals Incorporated | 2 | $48 |
| Dynasplint Systems Inc. | 1 | $15 |
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.
- DJO SURGICAL$47,417
- NOVATION HIP$8,370
- PREVENA$850
- PREVENA RESTOR ARTHO-FORM$850
- PREVENA RESTOR AXIO-FORM$850
- GMK Sphere Revision System$246
- Engage Partial Knee System$114
How this compares
$57,053 in reported general payments places this provider in the 90th percentile of 400 orthopaedic surgery providers in Indiana.
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 | 49 | $1,725 |
| Tranexamic Acid | 120 | $595 |
| Meloxicam | 253 | $547 |
| Cephalexin | 32 | $194 |
| Methylprednisolone | 17 | $141 |
| Hydroxyzine Hcl | 11 | $108 |
| Amoxicillin | 36 | $83 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Indianapolis
- David FisherIndianapolis$5.9M
- Michael BerendIndianapolis$4M
- Sanford KunkelIndianapolis$1.9M
- Hill HastingsIndianapolis$1.6M
- Michael CrossIndianapolis$870K
- Brian MullisIndianapolis$632K
- Dean MaarIndianapolis$589K
- Russell SwannIndianapolis$135K
- Thomas FischerIndianapolis$117K
- Wesley LackeyIndianapolis$115K
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.