Tyler Sten, DPM
Foot & Ankle Surgery · Saint Joseph, MONPI 1861020737
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Stryker at 43.1% of the total. Reporting peaked in 2023 at $10,074 and has fallen 52.3% since, to $4,810 in 2025.
Across 250 payments — averaging $90.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$10K
- Integra Lifesciences Corporation$3K
- Crossroads Orthopedics, LLC$2K
- Zimmer Biomet$2K
- Medline Industries LP$936
- Mimedx Group, Inc.$818
- plus $4K from 20 others
What the payments were for
- Consulting fees$2,50011%
- Travel & lodging$7,68934%
- Food & beverage$10,05644%
- Education$2,40011%
- Gifts$100%
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 |
|---|---|---|
| Stryker | 102 | $9,762 |
| Integra Lifesciences Corporation | 16 | $3,299 |
| Crossroads Orthopedics, LLC | 5 | $2,488 |
| Zimmer Biomet | 9 | $1,709 |
| Medline Industries LP | 8 | $936 |
| Mimedx Group, Inc. | 46 | $818 |
| International Life Sciences | 1 | $661 |
| Organogenesis Inc. | 25 | $553 |
| Kerecis Limited | 2 | $397 |
| Paragon 28, Inc. | 3 | $370 |
| Treace Medical Concepts, Inc. | 4 | $331 |
| Orthofix Medical, Inc. | 2 | $282 |
| Convatec Inc. | 3 | $179 |
| Medtronic | 1 | $124 |
| Johnson & Johnson | 3 | $107 |
| Trice Medical, Inc. | 1 | $102 |
| Acumed LLC | 3 | $90 |
| Heron Therapeutics, Inc. | 1 | $88 |
| Smith+Nephew | 3 | $83 |
| Linvatec Corporation | 1 | $70 |
| Titan Surgical Group, LLC | 2 | $43 |
| Polynovo North America LLC | 2 | $39 |
| Biocomposites Inc | 2 | $38 |
| Averitas Pharma Inc. | 2 | $37 |
| Paratek Pharmaceuticals, Inc. | 2 | $32 |
| Solventum Corporation | 1 | $20 |
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.
- INTEGRA$4,230
- MEDLINE UNITE$3,220
- INBONE$1,660
- HOFFMANN$1,622
- VARIAX$1,525
- OMNIGRAFT$1,500
- Trabecular Metal (TM)$1,455
- AUGMENT INJECTABLE$1,376
- AXSOS$1,376
- GAMMA$1,376
- PROPHECY$991
- INFINITY$906
- INVISION$871
- Kerecis SurgiClose$744
- PROSTEP MICA$679
- Kerecis Omega3 SurgiClose$633
- SALVATION$608
- PROstep$423
- MAKO$361
- APEX 3D$349
How this compares
$22,655 in reported general payments places this provider in the 80th percentile of 163 foot & 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 |
|---|---|---|
| Ketoconazole | 132 | $2,420 |
| Ciclopirox | 49 | $1,496 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 63 | $654 |
| Imiquimod | 22 | $618 |
| Methylprednisolone | 70 | $507 |
| Terbinafine Hcl | 19 | $379 |
| Mupirocin | 31 | $280 |
| Doxycycline Hyclate | 24 | $272 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 26 | $263 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $241 |
| Pregabalin | 12 | $235 |
| Hydrocortisone | 28 | $184 |
| Diclofenac Sodium | 15 | $168 |
| Cephalexin | 51 | $157 |
| Ciprofloxacin Hcl | 19 | $139 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Saint Joseph
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Amar PatelLees Summit$203K
- Anthony LombardoBridgeton$132K
- Jason AndersonKansas City$131K
- John HoltzmanSaint Louis$129K
- Jesse WolfeSaint Louis$89K
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.