Ramin Lalezari, MD
Hand Surgery · Bridgeton, MONPI 1285138883
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Acumed LLC at 59.0% of the total.
Across 20 payments — averaging $225.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$3K
- Elite Orthopedics, LLC$857
- Arthrex$263
- Acera Surgical, Inc.$154
- Smith+Nephew$147
- Stryker$146
- plus $281 from 3 others
What the payments were for
- Travel & lodging$86919%
- Food & beverage$1,27828%
- Education$2,35752%
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 |
|---|---|---|
| Acumed LLC | 5 | $2,656 |
| Elite Orthopedics, LLC | 6 | $857 |
| Arthrex | 2 | $263 |
| Acera Surgical, Inc. | 1 | $154 |
| Smith+Nephew | 1 | $147 |
| Stryker | 2 | $146 |
| Axogen | 1 | $132 |
| Johnson & Johnson | 1 | $126 |
| Biocircuit Technologies Inc | 1 | $23 |
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.
- INnate Implant$2,357
- EVOS$293
- Restrata Wound Matrix$154
- Ascension$147
- PANGEA$131
- T2 ALPHA$131
- NA$126
How this compares
$4,503 in reported general payments places this provider in the 55th 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 | 11 | $40 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Bridgeton
- Jay BridgemanColumbia$40K
- Richard GelbermanSaint Louis$30K
- Tyler KrummenacherSaint Louis$26K
- Wassim MouradSaint Louis$24K
- Georgina GlogovacChesterfield$20K
- Robert BellSaint Louis$20K
- Alexander PalmerLees Summit$12K
- Matthew WintertonSaint Louis$10K
- Nathan FisherSaint Louis$10K
- Nathanael OlsonSaint Louis$9K
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.