Matthew Winterton, MD
Hand Surgery · Saint Louis, MONPI 1740675552
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.5%), education and food and beverage — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Arthrex at 28.7% of the total. Reporting peaked in 2022 at $5,991 and has fallen 98.0% since, to $117 in 2025.
Across 50 payments — averaging $205.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Elite Orthopedics, LLC$2K
- Axogen$2K
- Skeletal Dynamics Inc$1K
- Lima USA, Inc.$689
- Medical Device Business Services, Inc.$300
- plus $263 from 5 others
What the payments were for
- Travel & lodging$5,08249%
- Food & beverage$2,49124%
- Education$2,70026%
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 | 18 | $2,953 |
| Elite Orthopedics, LLC | 9 | $2,410 |
| Axogen | 12 | $2,184 |
| Skeletal Dynamics Inc | 2 | $1,475 |
| Lima USA, Inc. | 3 | $689 |
| Medical Device Business Services, Inc. | 1 | $300 |
| Integra Lifesciences Corporation | 1 | $105 |
| Trice Medical, Inc. | 1 | $78 |
| ERMI LLC | 1 | $54 |
| Linvatec Corporation | 1 | $15 |
| Checkpoint Surgical, Inc | 1 | $10 |
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.
- AVANCE NERVE GRAFT$1,926
- Geminus$1,439
- Align$1,439
- IJS$1,439
- Implate$1,439
- SMR Shoulder$689
- TENOGLIDE$105
How this compares
$10,273 in reported general payments places this provider in the 80th percentile of 36 hand surgery providers in Missouri.
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 | 16 | $49 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Saint Louis
- Richard GelbermanSaint Louis$30K
- Tyler KrummenacherSaint Louis$26K
- Wassim MouradSaint Louis$24K
- Robert BellSaint Louis$20K
- Nathan FisherSaint Louis$10K
- Nathanael OlsonSaint Louis$9K
- Schuyler HalversonSaint Louis$8K
- William FeinsteinSaint Louis$6K
- David StregeSaint Louis$4K
- Colleen GlissonSaint Louis$1K
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.