Justin Khoriaty, MD
Orthopaedic Surgery · Des Moines, IANPI 1821471525
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (38.9%), grants and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Smith+Nephew at 34.1% of the total. Reporting peaked in 2021 at $21,387 and has fallen 94.6% since, to $1,163 in 2025. Among orthopaedic surgery clinicians in IA 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 100 payments — averaging $361.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Arthrex$10K
- Encore Medical, LP$10K
- Medinc Of Texas$1K
- Stryker$1K
- Zimmer Biomet$722
- plus $1K from 6 others
What the payments were for
- Consulting fees$3,50010%
- Speaking & faculty fees$1,5004%
- Grants$10,00028%
- Travel & lodging$2,4797%
- Food & beverage$4,62113%
- Education$14,06539%
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 | 8 | $12,340 |
| Arthrex | 1 | $10,000 |
| Encore Medical, LP | 58 | $9,754 |
| Medinc Of Texas | 1 | $1,200 |
| Stryker(2 entities) | 12 | $1,049 |
| Zimmer Biomet | 10 | $722 |
| Medwest Associates | 3 | $608 |
| Medical Device Business Services, Inc. | 2 | $323 |
| Johnson & Johnson | 2 | $64 |
| Catalyst Orthoscience | 1 | $50 |
| Responsive Arthroscopy Inc | 1 | $43 |
| Pfizer | 1 | $11 |
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$7,880
- DJO Surgical AltiVate Anatomic System$2,518
- DJO Surgical AltiVate Reverse$2,158
- DJO Surgical Discovery Elbow System$1,500
- AEQUALIS ASCEND FLEX$310
- Persona$273
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$153
- Bioinductive Implant with Arthroscopic Delivery System - Medium$147
- Comprehensive Primary Stem$136
- SIMPLICITI$132
- ROSA$125
- MyMobility$125
- Identity$109
How this compares
$36,165 in reported general payments places this provider in the 90th percentile of 219 orthopaedic surgery providers in Iowa.
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 |
|---|---|---|
| Cephalexin | 31 | $251 |
| Oxycodone Hcl | 29 | $208 |
| Methylprednisolone | 16 | $94 |
| Meloxicam | 13 | $48 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Des Moines
- Brett RosenthalDes Moines$42K
- Joseph GallesDes Moines$12K
- Craig MahoneyDes Moines$11K
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
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.