Roxanne Keene, MD
Orthopaedic Surgery · Williston, NDNPI 1184661118
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Medical Device Business Services, Inc. at 43.8% of the total. Reporting peaked in 2024 at $4,182 and has fallen 95.0% since, to $208 in 2025. Among orthopaedic surgery clinicians in ND 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.
Across 76 payments — averaging $167.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$6K
- Zimmer Biomet$3K
- Arthrex$2K
- Johnson & Johnson$1K
- Stryker$511
- Sioux Surgical Inc$264
- plus $12 from 1 others
What the payments were for
- Consulting fees$5,58044%
- Travel & lodging$2,98423%
- Food & beverage$2,90723%
- Education$1,27410%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 2 | $5,580 |
| Zimmer Biomet | 34 | $3,423 |
| Arthrex | 8 | $1,608 |
| Johnson & Johnson(2 entities) | 14 | $1,347 |
| Stryker | 12 | $511 |
| Sioux Surgical Inc | 5 | $264 |
| Endo Pharmaceuticals 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.
- G7$844
- TFN-Advance$720
- ROSA-Knee$565
- NA$366
- VA-LCP$362
- Persona$354
- GAMMA$212
- JOINTPOINT$120
- TAPESTRY$117
- ADAPT$111
- ORTHOLOC 3DI$111
- HAMMERLOCK$105
- AXSOS$101
- HOFFMANN$101
- T2$101
How this compares
$12,745 in reported general payments places this provider in the 90th percentile of 61 orthopaedic surgery providers in North Dakota.
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 | 26 | $215 |
| Diclofenac Sodium | 20 | $151 |
| Oxycodone Hcl | 30 | $118 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $106 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Williston
- Erik SletteFargo$39K
- Nicholas O'NeillFargo$36K
- Brian DahlBismarck$31K
- David SchallGrand Forks$23K
- Joffrey ThompsonGrand Forks$14K
- Ravindra JoshiMinot$13K
- Russell LambertGrand Forks$11K
- Daniel LeeMinot$10K
- Jason KellyFargo$9K
- Andrew ToftoyGrand Forks$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.