Richard Rames, MD
Orthopaedic Surgery · Chesterfield, MONPI 1548642168
Payments from drug & device makers
Across 56 payments — averaging $113.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Encore Medical, LP$1K
- Johnson & Johnson$1K
- Intellijoint Surgical Inc.$500
- Medical Device Business Services, Inc.$348
- Medtronic$300
- plus $265 from 3 others
What the payments were for
- Consulting fees$5008%
- Travel & lodging$3,94462%
- Food & beverage$1,59925%
- Education$2905%
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 | 14 | $2,641 |
| Encore Medical, LP | 14 | $1,264 |
| Johnson & Johnson | 11 | $1,014 |
| Intellijoint Surgical Inc. | 1 | $500 |
| Medical Device Business Services, Inc. | 5 | $348 |
| Medtronic | 4 | $300 |
| Zimmer Biomet | 3 | $158 |
| Steris Corporation | 2 | $71 |
| Elite Orthopedics, LLC | 2 | $36 |
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.
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$979
- NA$869
- ACTIS$759
- DJO Surgical Empowr Knee System$587
- Intellijoint HIP$500
- DJO SURGICAL$440
- MAKO$405
- AQUAMANTYS$170
- AIR$156
- DJO Surgical CLP Hip System$114
- DJO Surgical Cobalt HV Bone Cement$114
- DJO Surgical 3DKnee System$114
- Knees-MyMobility$100
- ROSA-Knee$100
- Persona$100
How this compares
$6,333 in reported general payments places this provider in the 55th percentile of 455 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 |
|---|---|---|
| Celecoxib | 116 | $2,006 |
| Cefadroxil | 53 | $1,000 |
| Oxycodone Hcl | 205 | $953 |
| Tramadol Hcl | 246 | $724 |
| Doxycycline Hyclate | 44 | $618 |
| Cephalexin | 89 | $588 |
| Cyclobenzaprine Hcl | 46 | $570 |
| Methylprednisolone | 97 | $490 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $396 |
| Meloxicam | 97 | $313 |
| Ondansetron OdtOndansetron | 65 | $169 |
| Clindamycin Hcl | 21 | $97 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 21 | $46 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Chesterfield
- Richard RamesChesterfield$301K
- Matthew MatavaChesterfield$135K
- Emily WhickerChesterfield$39K
- Matthew SmithColumbia$4M
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Alexandra StrongN Kansas City$1.1M
- Thomas McCormackKansas City$852K
- Michael SnyderJefferson City$676K
- Peter ChalmersSaint Louis$674K
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.