RxDoctor Payments Data

Patrick Messerschmitt, MD

Hand Surgery · Cincinnati, OHNPI 1740491273

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $55,250 of the $58,322 with a category attached, or 94.7%. Zimmer Biomet accounts for 99.1% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $38,533 and has fallen 99.8% since, to $76 in 2025. Among hand surgery clinicians in OH 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.

$58,322in general payments, 2019–2025

Across 67 payments — averaging $870.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$58K
  • Pharmaceutical Business Consultants Limited$400
  • Smith+Nephew$37
  • Amgen$36
  • Medartis Inc.$34
  • Medtronic$19
  • plus $15 from 1 others

What the payments were for

  • Consulting fees$55,25095%
  • Speaking & faculty fees$4001%
  • Travel & lodging$2,0113%
  • Food & beverage$6611%

General payments by program year

19
20
21
22
23
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.

CompanyPaymentsTotal
Zimmer Biomet60$57,782
Pharmaceutical Business Consultants Limited1$400
Smith+Nephew1$37
Amgen2$36
Medartis Inc.1$34
Medtronic1$19
Merck1$15

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

$58,322 in reported general payments places this provider in the 90th percentile of 88 hand surgery providers in Ohio.

See all hand surgery providers in Ohio

Medicare billing

Part B allowed, 2024
$155,698
Medicare patients
318
Services billed
1,585

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-AcetaminophenOxycodone Hcl/Acetaminophen102$596
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen81$354
Methylprednisolone47$285
Ondansetron OdtOndansetron25$234
Clindamycin Hcl16$227
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim29$119
Promethazine Hcl35$106
Meloxicam22$73
Tramadol Hcl25$60

Paid to pharmacies, not to this prescriber.

Other hand surgery in Cincinnati

See the full list for Ohio

Where these figures come from

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