Joshua Niemann, MD
Orthopaedic Trauma · Liberty, MONPI 1114967627
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (37.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Trimed, Inc. accounts for 75.3% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2023 at $5,710 and has fallen 84.8% since, to $871 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in MO, where the typical reported total is $16,093.
Across 90 payments — averaging $114.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$8K
- Stryker$2K
- Davol Inc.$160
- KCI USA, Inc.$74
- Amgen$24
- Integra Lifesciences Corporation$19
- plus $48 from 3 others
What the payments were for
- Speaking & faculty fees$3,25032%
- Travel & lodging$3,05030%
- Food & beverage$3,89738%
- Education$1111%
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 |
|---|---|---|
| Trimed, Inc. | 10 | $7,758 |
| Stryker | 72 | $2,225 |
| Davol Inc. | 1 | $160 |
| KCI USA, Inc. | 1 | $74 |
| Amgen | 2 | $24 |
| Integra Lifesciences Corporation | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Fidia Pharma USA Inc. | 1 | $17 |
| Zimmer Biomet | 1 | $14 |
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.
- MAKO$771
- ARISTA AH FLEXITIP$160
How this compares
$10,308 in reported general payments places this provider in the 45th percentile of 28 orthopaedic trauma 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 |
|---|---|---|
| Oxycodone Hcl | 134 | $1,091 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 61 | $762 |
| Tramadol Hcl | 77 | $381 |
| Meloxicam | 100 | $184 |
| Methocarbamol | 11 | $55 |
| Cephalexin | 14 | $42 |
| Amoxicillin | 50 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Liberty
- Steven ClaryLiberty$10K
- Todd OliverColumbia$1.1M
- Brett CristColumbia$350K
- Marschall BerkesSaint Louis$101K
- Gregory della RoccaColumbia$94K
- Kyle SchweserColumbia$61K
- Daniel BravinSpringfield$39K
- Mitchel ObeySaint Louis$33K
- Christopher MuncieSpringfield$30K
- Christopher McAndrewSaint Louis$28K
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.