RxDoctor Payments Data

Matthew Smith, MD

Orthopaedic Surgery · Columbia, MONPI 1518034404

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $2,292,052 of the $2,860,042 with a category attached, or 80.1%. 10 manufacturers reported payments, led by Ignite Orthopedics, LLC at 53.4% of the total. 2025 is the largest year on record at $872,381, more than ten times the $30,870 reported in 2019. Among orthopaedic surgery clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$2,860,042in general payments, 2019–2025

Across 210 payments — averaging $13,619 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Ignite Orthopedics, LLC$1.5M
  • Depuy Synthes Products, Inc.$1.2M
  • Medical Device Business Services, Inc.$130K
  • Elite Orthopedics, LLC$5K
  • Arthrex$2K
  • Zimmer Biomet$2K
  • plus $557 from 4 others
$169,375in research payments, 2019–2025

Across 40 payments — averaging $4234.38 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.

  • Arthrex$122K
  • Stryker$48K
$977,487in ownership & investment interests, 2019–2025

Across 6 payments — averaging $162,915 each. An ownership or investment interest held by the physician or an immediate family member.

  • Ignite Orthopedics, LLC$977K

What the payments were for

  • Royalty or licence$2,292,05280%
  • Consulting fees$175,5256%
  • Speaking & faculty fees$2,0000%
  • Travel & lodging$13,7010%
  • Food & beverage$4,2280%
  • Education$2,9100%
  • Ownership interest$369,62713%

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.

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

$2,860,042 in reported general payments places this provider in the 95th percentile of 455 orthopaedic surgery providers in Missouri.

See all orthopaedic surgery providers in Missouri

Medicare billing

Part B allowed, 2024
$142,688
Medicare patients
315
Services billed
565

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

DrugClaimsCost to plans & patients
Oxycodone Hcl28$89
Cephalexin12$22

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Columbia

See the full list for Missouri

Where these figures come from

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