Sebastien Lalonde, MD
Surgery of the Hand · Columbia, MONPI 1861990731
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.0%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Trimed, Inc. at 55.5% of the total. Reporting peaked in 2023 at $5,331 and has fallen 95.2% since, to $256 in 2025.
Across 51 payments — averaging $184.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$5K
- Elite Orthopedics, LLC$2K
- Stryker$682
- Arthrex$542
- Axogen$296
- Johnson & Johnson$262
- plus $492 from 11 others
What the payments were for
- Speaking & faculty fees$1,50016%
- Travel & lodging$2,96831%
- Food & beverage$3,67339%
- Education$1,28414%
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 |
|---|---|---|
| Trimed, Inc. | 7 | $5,231 |
| Elite Orthopedics, LLC | 9 | $1,921 |
| Stryker | 9 | $682 |
| Arthrex | 7 | $542 |
| Axogen | 4 | $296 |
| Johnson & Johnson | 4 | $262 |
| Supreme Orthopedic Systems, LLC | 1 | $149 |
| KCI USA, Inc. | 1 | $91 |
| Zimmer Biomet | 1 | $84 |
| Anika Therapeutics, Inc. | 1 | $31 |
| Illuminoss Medical, Inc. | 1 | $30 |
| Medartis Inc. | 1 | $25 |
| Endo Pharmaceuticals Inc. | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $22 |
| Pacira Therapeutics, Inc. | 1 | $12 |
| Medline Industries LP | 1 | $12 |
| Polynovo North America LLC | 1 | $11 |
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.
- VARIAX$230
- HAMMERLOCK$209
- INVISION$168
- INBONE$155
- NA$109
- AxoGuard Nerve Protector$105
- AxoGuard Nerve Connector$105
- AVANCE NERVE GRAFT$102
- FIBERGRAFT Aeridyan Matrix$100
How this compares
$9,425 in reported general payments places this provider in the 55th percentile of 30 surgery of the hand 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 |
|---|---|---|
| Gabapentin | 29 | $290 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $67 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $41 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Columbia
- Julia NuelleColumbia$60K
- Daniel LondonColumbia$13K
- Stephen ColbertColumbia$3K
- Mohamed KhalidColumbia$12
- Jason StrelzowSaint Louis$161K
- Charles GoldfarbSaint Louis$121K
- Christopher DySaint Louis$106K
- Jaimie ShoresChesterfield$61K
- David BroganSaint Louis$55K
- Sarah RidenourSaint Louis$34K
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.