Ryan Aukerman, MD
Orthopaedic Surgery · Laramie, WYNPI 1417912858
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (31.6%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 70.3% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $10,115 and has fallen 97.5% since, to $249 in 2025. Among orthopaedic surgery clinicians in WY 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 119 payments — averaging $201.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$17K
- Ossio Inc$3K
- Xiros Inc$1K
- International Life Sciences$980
- Gemini Mountain Medical, LLC$812
- Stryker$408
- plus $192 from 1 others
What the payments were for
- Consulting fees$6,50027%
- Speaking & faculty fees$7,55032%
- Travel & lodging$1,9788%
- Food & beverage$7,10030%
- Education$7983%
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 | 88 | $16,826 |
| Ossio Inc | 8 | $3,434 |
| Xiros Inc | 12 | $1,274 |
| International Life Sciences | 1 | $980 |
| Gemini Mountain Medical, LLC | 2 | $812 |
| Stryker | 6 | $408 |
| Zimmer Biomet | 2 | $192 |
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.
- Acufex$3,200
- NOVOSTITCH$1,743
- SPATIAL FRAME$1,743
- Q-FIX$1,600
- FAST-FIX$1,415
- Firstpass$1,197
- ACUFEX Meniscal Root Repair$1,197
- ACUFEX GRAFTMASTER III$1,190
- ACUFEX Knee$1,155
- BIOSURE REGENESORB$1,155
- ULTRABUTTON$452
- Infinity-Lock 5$391
- Regeneten$359
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$236
- MULTIFIX S$219
- N/A$200
- Ablator probe$159
- LENS 4K$145
- Bone Anchors with Arthroscopic Delivery System$145
- mymobility Platform$134
How this compares
$23,926 in reported general payments places this provider in the 95th percentile of 69 orthopaedic surgery providers in Wyoming.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $183 |
| Cephalexin | 19 | $99 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Laramie
- Matthew FournierLaramie$34K
- Mark McKennaLaramie$10K
- Daniel LeveneLaramie$1K
- Christopher HillsJackson$107K
- Jaymeson ArthurCasper$30K
- Robert GrunfeldGillette$17K
- Mark RyzewiczCody$14K
- Jory WasserburgerSheridan$12K
- Rafael WilliamsWilson$10K
- Emily HarndenCody$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.