RxDoctor Payments Data

Nathanael Olson

Hand Surgery · Saint Louis, MONPI 1033564760

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (51.3%), travel and lodging and grants — rather than concentrated in one kind of arrangement. Arthrex accounts for 69.4% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $6,727 and has fallen 99.5% since, to $34 in 2025.

$9,352in general payments, 2019–2025

Across 32 payments — averaging $292.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$6K
  • Kairos Surgical Inc$1K
  • Elite Orthopedics, LLC$850
  • Skeletal Dynamics Inc$650
  • Endo Pharmaceuticals Inc.$122
  • Endo USA, Inc.$22
  • plus $21 from 1 others

What the payments were for

  • Grants$1,75019%
  • Travel & lodging$1,81219%
  • Food & beverage$99111%
  • Education$4,80051%

General payments by program year

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

$9,352 in reported general payments places this provider in the 70th percentile of 36 hand surgery providers in Missouri.

See all hand surgery providers in Missouri

Medicare billing

Part B allowed, 2024
$139,585
Medicare patients
381
Services billed
1,814

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
Methylprednisolone42$305
Oxycodone Hcl57$222
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen12$91
Meloxicam25$71
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim16$60
Tramadol Hcl21$28

Paid to pharmacies, not to this prescriber.

Other hand surgery in Saint Louis

See the full list for Missouri

Where these figures come from

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