Joshua Troyer, MD
Orthopaedic Surgery · Stevens Point, WINPI 1770809204
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.6%), education and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 61.8% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $4,799 and has fallen 75.6% since, to $1,169 in 2025.
Across 40 payments — averaging $204.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- True North Surgical Inc$2K
- Zimmer Biomet$790
- Miach Orthopaedics, Inc.$176
- Great Lakes Orthopedics$125
- DJO, LLC$68
- plus $128 from 4 others
What the payments were for
- Travel & lodging$3,81447%
- Food & beverage$1,17914%
- Education$3,19039%
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 |
|---|---|---|
| Arthrex | 22 | $5,058 |
| True North Surgical Inc | 6 | $1,838 |
| Zimmer Biomet | 2 | $790 |
| Miach Orthopaedics, Inc. | 1 | $176 |
| Great Lakes Orthopedics | 3 | $125 |
| DJO, LLC | 1 | $68 |
| Medtronic | 2 | $51 |
| Johnson & Johnson | 1 | $45 |
| Vericel Corporation | 1 | $17 |
| Smith+Nephew | 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.
How this compares
$8,183 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Oxycodone Hcl | 74 | $357 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $118 |
| Meloxicam | 22 | $81 |
| Amoxicillin | 59 | $68 |
| Methocarbamol | 11 | $51 |
| Tramadol Hcl | 24 | $38 |
| Clindamycin Hcl | 13 | $37 |
| Lorazepam | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Stevens Point
- Christopher BibboStevens Point$615K
- Robert ChurchillGrafton$7.7M
- Richard IllgenMadison$6.1M
- Jeffrey McLaughlinOshkosh$2M
- Clifford TribusMadison$1.4M
- Thomas ZdeblickMadison$1.1M
- Justin MitchellOnalaska$666K
- Robert LimoniAppleton$514K
- Paul AndersonVerona$456K
- Shawn HenniganAppleton$455K
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.