Ryan Meis, MD
Orthopaedic Surgery · Dakota Dunes, SDNPI 1053314385
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,125 of the $7,272 with a category attached, or 70.5%. Arthrex accounts for 90.9% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $1,989, 2.3 times the $857 reported in 2019.
Across 92 payments — averaging $79.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$7K
- Conetic Solutions, Inc.$339
- Stryker$109
- Vericel Corporation$95
- Heron Therapeutics, Inc.$84
- Zimmer Biomet$32
What the payments were for
- Travel & lodging$5,12570%
- Food & beverage$2,14730%
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 |
|---|---|---|
| Arthrex | 80 | $6,612 |
| Conetic Solutions, Inc. | 5 | $339 |
| Stryker | 4 | $109 |
| Vericel Corporation | 1 | $95 |
| Heron Therapeutics, Inc. | 1 | $84 |
| Zimmer Biomet | 1 | $32 |
How this compares
$7,272 in reported general payments places this provider in the 65th percentile of 92 orthopaedic surgery providers in South 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 |
|---|---|---|
| Amoxicillin | 188 | $142 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $135 |
| Tramadol Hcl | 31 | $106 |
| Oxycodone Hcl | 16 | $77 |
| Cephalexin | 15 | $55 |
| Clindamycin Hcl | 45 | $44 |
| Meloxicam | 19 | $33 |
| Cyclobenzaprine Hcl | 15 | $30 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Dakota Dunes
- Joshua HockettDakota Dunes$15K
- Brian JohnsonDakota Dunes$14K
- Justin DeansDakota Dunes$13K
- Joseph CarreauDakota Dunes$7K
- Benjamin BissellDakota Dunes$7K
- Daniel NelsonDakota Dunes$4K
- Steven StokesbaryDakota Dunes$3K
- Michael EspirituDakota Dunes$2K
- Daniel KensingerDakota Dunes$2K
- Stuart FrommRapid City$13.3M
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.