Keneth Strenge, MD
Orthopaedic Surgery of the Spine · Paducah, KYNPI 1386865426
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,644,242 of the $2,573,517 with a category attached, or 63.9%. 44 manufacturers reported payments, led by Globus Medical at 31.9% of the total. Among orthopaedic surgery of the spine clinicians in KY 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 756 payments — averaging $3404.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$820K
- Alphatec Spine, Inc$634K
- Corelink, LLC$362K
- Zavation Medical Products, LLC$150K
- Stryker$101K
- Centinel Spine, LLC$89K
- plus $418K from 38 others
Across 244 payments — averaging $13,707 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Providence Medical Technology, Inc.$558K
- Cerapedics Inc.$380K
- Globus Medical$323K
- Centinel Spine, LLC$301K
- Spineart SA$257K
- Ossdsign USA Incorporated$252K
- plus $1.3M from 10 others
Across 6 payments — averaging $13,543 each. An ownership or investment interest held by the physician or an immediate family member.
- Expanding Innovations, Inc.$65K
- Overture Orthopaedics$17K
What the payments were for
- Royalty or licence$1,644,24264%
- Consulting fees$778,77430%
- Speaking & faculty fees$35,5381%
- Travel & lodging$66,1713%
- Food & beverage$43,6372%
- Gifts$1000%
- Entertainment$5,0550%
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.
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.
- COHERE$735,121
- Other - Miscellaneous$325,422
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$107,933
- AMP$106,168
- CoRoent$97,724
- RAVINE LATERAL ACCESS SYSTEM$82,257
- Solus ALIF$62,547
- X-PAC$60,192
- PRODISC C$35,508
- PRODISC C SK$34,408
- Rampart Duo Interbody Fusion System$23,695
- KODIAK$20,668
- SPINE TRUSS SYSTEM$19,880
- PRODISC C VIVO$19,692
- FORTILINK-C IBF SYSTEM$18,615
- LATERAL ACCESS SPINAL SYSTEM$17,925
- NIAGARA LATERAL ACCESS SYSTEM$16,731
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$16,702
- LIF$16,487
- AURORA SPINE$16,350
How this compares
$2,573,517 in reported general payments places this provider in the 90th percentile of 29 orthopaedic surgery of the spine providers in Kentucky.
See all orthopaedic surgery of the spine providers in Kentucky →
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 |
|---|---|---|
| Gabapentin | 1,167 | $10,693 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 465 | $7,161 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 462 | $4,979 |
| Pregabalin | 231 | $4,909 |
| Diclofenac Sodium | 202 | $2,046 |
| Celecoxib | 70 | $1,529 |
| Naloxone Hcl | 26 | $1,481 |
| Tizanidine Hcl | 101 | $1,120 |
| Tramadol Hcl | 222 | $956 |
| Baclofen | 43 | $472 |
| Cyclobenzaprine Hcl | 56 | $464 |
| Oxycodone Hcl | 37 | $424 |
| Hydromorphone Hcl | 28 | $419 |
| Ondansetron Hcl | 54 | $394 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 23 | $271 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Paducah
- Mark CrawfordPaducah$21
- Jeffery GumLouisville$3.5M
- Mladen DjurasovicLouisville$3.1M
- Roger OwensLouisville$1.3M
- Robert KnetscheDanville$1.2M
- Charles CrawfordLouisville$836K
- Joseph LarattaLouisville$819K
- Venu VemuriLouisville$796K
- Kathryn McCarthy MulloolyLouisville$426K
- John DimarLouisville$266K
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.