RxDoctor Payments Data

Kelly Hynes, MD

Foot and Ankle Surgery · Saint Louis, MONPI 1427505197

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (45.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Acumed LLC at 49.7% of the total. Reporting peaked in 2022 at $16,581 and has fallen 77.5% since, to $3,729 in 2025.

$34,221in general payments, 2019–2025

Across 101 payments — averaging $338.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Acumed LLC$17K
  • Stryker$5K
  • Endo Pharmaceuticals Inc.$4K
  • Orthoxel Designated Activity Company$3K
  • Arthrex$2K
  • Novastep Inc.$2K
  • plus $3K from 4 others

What the payments were for

  • Consulting fees$7,31121%
  • Speaking & faculty fees$15,46245%
  • Travel & lodging$5,88217%
  • Food & beverage$5,39216%
  • Gifts$1731%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Acumed LLC19$17,014
Stryker(2 entities)48$4,883
Endo Pharmaceuticals Inc.5$3,979
Orthoxel Designated Activity Company1$2,500
Arthrex3$1,712
Novastep Inc.11$1,543
Elite Orthopedics, LLC8$1,160
Paragon 28, Inc.4$1,159
Johnson & Johnson1$143
Linvatec Corporation1$128

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

$34,221 in reported general payments places this provider in the 85th percentile of 163 foot and ankle surgery providers in Missouri.

See all foot and ankle surgery providers in Missouri

Medicare billing

Part B allowed, 2024
$11,439
Medicare patients
36
Services billed
63

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.

Other foot and ankle surgery in Saint Louis

See the full list for Missouri

Where these figures come from

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