Sandra Klein, MD
Foot and Ankle Surgery · Saint Louis, MONPI 1619036878
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.6%), education and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Medartis Inc. at 57.4% of the total. Reporting peaked in 2019 at $14,355 and has fallen 97.7% since, to $330 in 2025.
Across 32 payments — averaging $515.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$9K
- Elite Orthopedics, LLC$5K
- Stryker$706
- Johnson & Johnson$264
- Medline Industries LP$188
- Arthrex$185
- plus $1K from 9 others
What the payments were for
- Speaking & faculty fees$9,00055%
- Travel & lodging$1,0286%
- Food & beverage$2,49915%
- Education$3,97224%
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 |
|---|---|---|
| Medartis Inc. | 2 | $9,473 |
| Elite Orthopedics, LLC | 6 | $4,650 |
| Stryker(2 entities) | 7 | $706 |
| Johnson & Johnson | 3 | $264 |
| Medline Industries LP | 3 | $188 |
| Arthrex | 2 | $185 |
| 4web, Inc. | 1 | $147 |
| Integra Lifesciences Corporation | 1 | $140 |
| Acera Surgical, Inc. | 1 | $139 |
| Paragon 28, Inc. | 1 | $139 |
| Astrazeneca UK Limited | 1 | $135 |
| Axogen | 1 | $125 |
| Linvatec Corporation | 1 | $113 |
| Biocomposites Inc | 1 | $68 |
| Vertex | 1 | $26 |
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.
- APTUS$9,473
- AUGMENT$183
- SPINE TRUSS SYSTEM$147
- INFINITY$144
- NA$143
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$140
- CADENCE ANKLE REPLACEMENT SYSTEM$140
- HALLU-LOCK$140
- PANTA NAIL$140
- TOTAL FOOT SYSTEM$140
- Restrata Wound Matrix$139
- Avitus Bone Graft Harvester$139
- STAR$131
- EASYFUSE$128
- AVANCE NERVE GRAFT$125
- AxoGuard Nerve Connector$125
- AxoGuard Nerve Protector$125
- BioBrace 23mm$113
- HAMMERLOCK$104
How this compares
$16,499 in reported general payments places this provider in the 75th percentile of 163 foot and ankle 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 58 | $349 |
| Ondansetron OdtOndansetron | 65 | $342 |
| Ketorolac Tromethamine | 23 | $235 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Saint Louis
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- John HoltzmanSaint Louis$129K
- Jesse WolfeSaint Louis$89K
- Seth AndersonSaint Louis$45K
- Kelly HynesSaint Louis$34K
- Lindsay BarthSaint Louis$30K
- Andrew ThomeSaint Louis$24K
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.