Michael Milshteyn, MD
Orthopaedic Surgery · Saint Paul, MNNPI 1427318005
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (34.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Arthrex at 57.3% of the total. Reporting peaked in 2023 at $18,315 and has fallen 61.9% since, to $6,969 in 2025.
Across 277 payments — averaging $230.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$37K
- Pinnacle, Inc$22K
- Stryker$2K
- Smith+Nephew$2K
- Johnson & Johnson$538
- Kerecis Limited$235
- plus $1K from 17 others
What the payments were for
- Speaking & faculty fees$22,25035%
- Travel & lodging$10,78817%
- Food & beverage$9,44215%
- Education$21,33133%
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 | 103 | $36,552 |
| Pinnacle, Inc | 100 | $21,695 |
| Stryker(2 entities) | 21 | $2,226 |
| Smith+Nephew | 15 | $1,507 |
| Johnson & Johnson(2 entities) | 9 | $538 |
| Kerecis Limited | 3 | $235 |
| Si-bone, Inc. | 7 | $187 |
| Sanara Medtech Inc. | 2 | $184 |
| Convatec Inc. | 1 | $124 |
| Acera Surgical, Inc. | 1 | $110 |
| Heron Therapeutics, Inc. | 1 | $107 |
| Globus Medical | 1 | $76 |
| Bioventus LLC | 3 | $38 |
| My01 Inc. | 1 | $37 |
| Pacira Therapeutics, Inc. | 1 | $32 |
| Radius Health, Inc. | 1 | $29 |
| Nevro Corp. | 1 | $27 |
| Paragon 28, Inc. | 1 | $27 |
| Integra Lifesciences Corporation | 1 | $20 |
| Abbott | 1 | $16 |
| Orthofix Medical, Inc. | 1 | $16 |
| Theragen, Inc. | 1 | $13 |
| Boston Scientific | 1 | $12 |
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.
- REUNION$1,329
- Taylor Spatial Frame$957
- Kerecis SurgiClose$754
- NA$236
- TFN-Advance$236
- TRIGEN InterTAN$226
- Kerecis GraftGuide$188
- VARIAX$150
- CellerateRx$126
- AQUACEL Ag Extra$124
- Conquest FN$115
- TRIGEN Meta-Nail$115
- Restrata Wound Matrix$110
- Ilizarov System$110
- MAKO$109
- Zynrelef$107
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS$104
How this compares
$63,810 in reported general payments places this provider in the 85th percentile of 533 orthopaedic surgery providers in Minnesota.
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 |
|---|---|---|
| Meloxicam | 13 | $130 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $84 |
| Tramadol Hcl | 15 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Saint Paul
- Peter ColeSaint Paul$90K
- Daniel BerryRochester$21.5M
- Mark PagnanoRochester$14.8M
- Robert TrousdaleRochester$12.2M
- John SperlingRochester$12.2M
- Shawn O'DriscollRochester$10.5M
- Bryan Den HartogStillwater$9M
- Joseph NesslerSartell$8.6M
- David LewallenRochester$8M
- Rafael SierraRochester$4.9M
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.