Richard Johnston, MD
Adult Reconstructive Orthopaedic Surgery · Saint Louis, MONPI 1518968759
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 62 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in MO, where the typical reported total is $10,569.
Across 62 payments — averaging $27.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$305
- Johnson & Johnson$215
- Pacira Therapeutics, Inc.$212
- Smith+Nephew$202
- Davol Inc.$185
- KCI USA, Inc.$97
- plus $470 from 13 others
What the payments were for
- Food & beverage$1,685100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker | 8 | $305 |
| Johnson & Johnson(2 entities) | 10 | $215 |
| Pacira Therapeutics, Inc. | 13 | $212 |
| Smith+Nephew | 3 | $202 |
| Davol Inc. | 2 | $185 |
| KCI USA, Inc. | 2 | $97 |
| Ferring Pharmaceuticals Inc. | 7 | $90 |
| Heron Therapeutics, Inc. | 2 | $84 |
| Bioventus LLC | 4 | $67 |
| Elite Orthopedics, LLC | 1 | $38 |
| Fidia Pharma USA Inc. | 2 | $36 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| ERMI LLC | 1 | $24 |
| Medtronic | 1 | $20 |
| Convatec Inc. | 1 | $20 |
| Abbott | 1 | $18 |
| Vertex | 1 | $17 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
| Sonex Health, Inc. | 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.
- ARISTA AH FLEXITIP$164
- EVOS$145
How this compares
$1,685 in reported general payments places this provider in the 15th percentile of 36 adult reconstructive orthopaedic surgery providers in Missouri.
See all adult reconstructive orthopaedic 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 |
|---|---|---|
| Pregabalin | 139 | $1,145 |
| Oxycodone Hcl | 162 | $744 |
| CefuroximeCefuroxime Axetil | 127 | $677 |
| Meloxicam | 222 | $640 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $342 |
| Celecoxib | 24 | $276 |
| Pantoprazole Sodium | 15 | $160 |
| Diclofenac Sodium | 19 | $126 |
| Tramadol Hcl | 25 | $60 |
| Montelukast Sodium | 18 | $39 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Saint Louis
- Robert BarrackSaint Louis$10.6M
- Ryan NunleySaint Louis$3.9M
- John ClohisySaint Louis$538K
- Kimberly BartosiakSaint Louis$92K
- Ilya BendichSaint Louis$78K
- Muyibat AdelaniSaint Louis$71K
- Parth VyasSaint Louis$47K
- Katherine MistrettaSaint Louis$41K
- Gireesh ReddySaint Louis$18K
- Joseph GibianSaint Louis$13K
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.