Sridhar Pinnamaneni
Orthopaedic Surgery · Saint Louis, MONPI 1982014767
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 80.0% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $89,136, more than ten times the $407 reported in 2020. Among orthopaedic surgery clinicians in MO 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 304 payments — averaging $620.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$151K
- Exactech, Inc.$25K
- Elite Orthopedics, LLC$5K
- Lima USA, Inc.$4K
- Xenco Medical LLC$2K
- Medacta USA, Inc.$237
- plus $734 from 10 others
What the payments were for
- Consulting fees$91,24548%
- Speaking & faculty fees$66,92536%
- Travel & lodging$19,89811%
- Food & beverage$8,0294%
- Education$2,4001%
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 | 178 | $150,870 |
| Exactech, Inc. | 24 | $24,999 |
| Elite Orthopedics, LLC | 75 | $5,117 |
| Lima USA, Inc. | 7 | $4,140 |
| Xenco Medical LLC | 1 | $2,400 |
| Medacta USA, Inc. | 2 | $237 |
| Smith+Nephew | 2 | $176 |
| Stryker | 5 | $154 |
| Limacorporate S.p.a. | 1 | $148 |
| Medwest Associates | 2 | $103 |
| Vertex | 2 | $37 |
| ERMI LLC | 1 | $36 |
| Lightbody Medical Technologies Inc | 1 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Deroyal Industries, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $13 |
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.
- EQUINOXE$24,731
- SMR Shoulder$4,115
- Flowable Orthobiologics$2,400
- HEALICOIL Suture Anchor$164
- PHYSICA CR$148
- MECTA$137
How this compares
$188,497 in reported general payments places this provider in the 95th percentile of 455 orthopaedic 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 | 77 | $594 |
| Methylprednisolone | 34 | $143 |
| Oxycodone Hcl | 11 | $62 |
| Meloxicam | 21 | $47 |
| Amoxicillin | 13 | $18 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Saint Louis
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Lionel MetzSaint Louis$428K
- Jon CarlsonSaint Louis$354K
- Alexander AleemSaint Louis$230K
- Rhoderic MirkinSaint Louis$209K
- Kenneth SmithSaint Louis$119K
- Benjamin ZmistowskiSaint Louis$118K
- David MingesSaint Louis$95K
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.