Thomas Aleto, MD
Adult Reconstructive Orthopaedic Surgery · Columbia, MONPI 1881673549
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $420,250 of the $669,299 with a category attached, or 62.8%. Zimmer Biomet accounts for 77.3% of it on its own, with 13 other manufacturers making up the rest. Among adult reconstructive orthopaedic surgery clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 731 payments — averaging $915.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$517K
- Smith+Nephew$134K
- Encore Medical, LP$9K
- Stryker$6K
- Elite Orthopedics, LLC$2K
- Abbott$856
- plus $783 from 8 others
Across 10 payments — averaging $1774.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Zimmer Biomet$10K
- Amplitude Orthopedics Corporation$8K
What the payments were for
- Royalty or licence$83,18812%
- Consulting fees$420,25063%
- Speaking & faculty fees$38,6256%
- Travel & lodging$55,1768%
- Food & beverage$20,6003%
- Education$51,3408%
- Gifts$1200%
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 |
|---|---|---|
| Zimmer Biomet | 467 | $517,479 |
| Smith+Nephew | 131 | $133,782 |
| Encore Medical, LP | 24 | $8,605 |
| Stryker | 45 | $5,978 |
| Elite Orthopedics, LLC | 14 | $1,814 |
| Abbott | 37 | $856 |
| Arthrex | 3 | $332 |
| Heraeus Medical, LLC. | 3 | $115 |
| Davol Inc. | 1 | $77 |
| Pacira Therapeutics, Inc. | 1 | $74 |
| Biocomposites Inc | 1 | $66 |
| Johnson & Johnson | 1 | $60 |
| Hospira, Inc. | 2 | $32 |
| Sanofi-aventis U.S. LLC | 1 | $27 |
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.
- Journey II$294,301
- Persona$132,322
- Oxford$113,012
- REAL INTELLIGENCE$81,084
- Arcos$55,850
- Engage Partial Knee System$55,364
- Persona Revision$54,495
- Vanguard$34,259
- PICO$28,625
- Taperloc$26,747
- G7$26,125
- Persona The Personalized Knee OsseoTi$23,489
- Taperloc Microplasty$20,000
- Oxford-Knees$19,216
- TMARS Liners$18,250
- Legion Revision$14,262
- Knees Product Portfolio$11,944
- Persona MC$11,625
- PD-Knee-New Product$11,487
- Avenir$7,992
How this compares
$669,299 in reported general payments places this provider in the 90th percentile of 36 adult reconstructive orthopaedic surgery providers in Missouri.
See all adult reconstructive 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 |
|---|---|---|
| EliquisApixaban | 11 | $5,094 |
| Celecoxib | 76 | $1,624 |
| Tramadol Hcl | 133 | $762 |
| Oxycodone Hcl | 37 | $374 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $228 |
| Cephalexin | 57 | $124 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $108 |
| Cefadroxil | 12 | $76 |
| Meloxicam | 24 | $68 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Columbia
- Ajay AggarwalColumbia$78K
- Samuel ThompsonColumbia$30K
- James KeeneyColumbia$22K
- Alan AnzColumbia$9K
- Elie GhanemColumbia$8K
- Jeffrey MillesColumbia$5K
- David HockmanColumbia$585
- Benjamin HoltColumbia$104
- Peter BuchertColumbia$46
- Robert BarrackSaint Louis$10.6M
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.