Robert Westermann, MD
Orthopaedic Surgery · Iowa City, IANPI 1841585239
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 63.1% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $73,647, more than ten times the $2,550 reported in 2019. Among orthopaedic surgery clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 251 payments — averaging $726.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$115K
- Linvatec Corporation$40K
- Responsive Arthroscopy Inc$15K
- Synthes GmbH$4K
- Stryker$3K
- Conmed Corporation$2K
- plus $3K from 9 others
Across 1 payment — averaging $33,999 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$34K
What the payments were for
- Royalty or licence$7080%
- Consulting fees$106,62858%
- Speaking & faculty fees$40,99622%
- Travel & lodging$21,30612%
- Food & beverage$12,4547%
- Education$1850%
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 |
|---|---|---|
| Smith+Nephew | 113 | $115,013 |
| Linvatec Corporation | 54 | $40,295 |
| Responsive Arthroscopy Inc | 28 | $15,363 |
| Synthes GmbH | 5 | $4,092 |
| Stryker | 31 | $2,808 |
| Conmed Corporation | 5 | $2,185 |
| Davol Inc. | 1 | $1,103 |
| Zimmer Biomet | 5 | $574 |
| DJO, LLC | 3 | $264 |
| Wardlow Enterprises | 1 | $185 |
| Miach Orthopaedics, Inc. | 1 | $138 |
| Arthrex | 1 | $89 |
| Medacta USA, Inc. | 1 | $88 |
| Osteocentric Technologies, Inc. | 1 | $50 |
| Johnson & Johnson | 1 | $31 |
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.
- Q-FIX$53,065
- Bone Anchors with Arthroscopic Delivery System$52,944
- CAP-FIX$45,686
- SPATIAL FRAME$33,309
- Healicoil$27,388
- MICRORAPTOR$25,297
- LINVATEC HIP PRESERVATION SYSTEM$19,066
- HIP ACCESS INSTRUMENTS$15,860
- Responsive Arthroscopy Devices$15,077
- FAST-FIX$12,725
- Bioinductive Implant with Arthroscopic Delivery System - Medium$9,586
- The Pink Hip Kit - Smith & Nephew Table$4,123
- KNEE MANUAL INSTRUMENTS$3,500
- ACUFEX Meniscal Root Repair$3,357
- NOVOSTITCH$2,846
- Coblation$2,779
- INFINITY KNEE SYSTEM$2,500
- Accu-pass$2,366
- BIOSURE REGENESORB$2,250
- Clear-Trac Complete$2,250
How this compares
$182,277 in reported general payments places this provider in the 95th percentile of 219 orthopaedic surgery providers in Iowa.
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.
Other orthopaedic surgery in Iowa City
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
- Charles ClarkIowa City$50K
- Dallas VanornyIowa City$37K
- Joseph GalvinIowa City$28K
- John GreenIowa City$18K
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.