Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $509,175 | 13 | 79.9% |
| Consulting Fee | $93,905 | 76 | 14.7% |
| Travel and Lodging | $19,615 | 60 | 3.1% |
| Education | $11,754 | 5 | 1.8% |
| Food and Beverage | $2,536 | 50 | 0.4% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Zimmer Biomet Holdings, Inc. | $589,196 | 163 | $0 (2024) |
| Globus Medical, Inc. | $23,110 | 21 | $0 (2019) |
| NOVARTIS PHARMACEUTICALS CORPORATION | $21,134 | 10 | $0 (2023) |
| EXACTECH, INC. | $2,321 | 4 | $0 (2023) |
| GENZYME CORPORATION | $1,064 | 1 | $0 (2017) |
| Galderma Laboratories, L.P. | $87.75 | 1 | $0 (2023) |
| Amgen Inc. | $40.21 | 1 | $0 (2024) |
| Arthrex, Inc. | $30.00 | 2 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $260,286 | 44 | Zimmer Biomet Holdings, Inc. ($260,246) |
| 2023 | $185,067 | 53 | Zimmer Biomet Holdings, Inc. ($179,258) |
| 2022 | $122,843 | 4 | Zimmer Biomet Holdings, Inc. ($122,843) |
| 2021 | $3,375 | 7 | Zimmer Biomet Holdings, Inc. ($3,375) |
| 2020 | $2,338 | 4 | Zimmer Biomet Holdings, Inc. ($2,338) |
| 2019 | $17,243 | 21 | Globus Medical, Inc. ($11,521) |
| 2018 | $10,324 | 21 | Zimmer Biomet Holdings, Inc. ($9,074) |
| 2017 | $35,509 | 50 | Novartis Pharmaceuticals Corporation ($13,574) |
All Payment Transactions
204 individual payment records from CMS Open Payments — Page 1 of 9
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/12/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $259.92 | General |
| Category: Extremities | ||||||
| 12/12/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $259.92 | General |
| Category: Extremities | ||||||
| 12/11/2024 | Zimmer Biomet Holdings, Inc. | Alliance (Device) | Education | Cash or cash equivalent | $3,500.00 | General |
| Category: Hips | ||||||
| 12/11/2024 | Zimmer Biomet Holdings, Inc. | Alliance (Device) | Education | Cash or cash equivalent | $3,250.00 | General |
| Category: Hips | ||||||
| 12/11/2024 | Zimmer Biomet Holdings, Inc. | Alliance (Device) | Education | Cash or cash equivalent | $3,000.00 | General |
| Category: Hips | ||||||
| 12/11/2024 | Zimmer Biomet Holdings, Inc. | Alliance (Device) | Education | Cash or cash equivalent | $2,000.00 | General |
| Category: Hips | ||||||
| 11/15/2024 | Zimmer Biomet Holdings, Inc. | — | Food and Beverage | In-kind items and services | $59.40 | General |
| 11/15/2024 | Zimmer Biomet Holdings, Inc. | — | Food and Beverage | In-kind items and services | $45.36 | General |
| 11/15/2024 | Zimmer Biomet Holdings, Inc. | — | Food and Beverage | In-kind items and services | $23.76 | General |
| 11/08/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $226.70 | General |
| Category: Extremities | ||||||
| 11/08/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $64.50 | General |
| Category: Extremities | ||||||
| 11/08/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $40.85 | General |
| Category: Extremities | ||||||
| 11/08/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $30.02 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | — | Consulting Fee | Cash or cash equivalent | $2,625.00 | General |
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | — | Consulting Fee | Cash or cash equivalent | $1,250.00 | General |
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $736.95 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | — | Consulting Fee | Cash or cash equivalent | $500.00 | General |
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $231.70 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $133.53 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Travel and Lodging | In-kind items and services | $35.00 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $30.52 | General |
| Category: Extremities | ||||||
| 11/07/2024 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Food and Beverage | In-kind items and services | $25.80 | General |
| Category: Extremities | ||||||
| 10/20/2024 | Zimmer Biomet Holdings, Inc. | — | Travel and Lodging | In-kind items and services | $448.28 | General |
| 10/20/2024 | Zimmer Biomet Holdings, Inc. | — | Travel and Lodging | In-kind items and services | $106.14 | General |
| 10/20/2024 | Zimmer Biomet Holdings, Inc. | — | Travel and Lodging | In-kind items and services | $70.76 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 118 | 125 | $137,850 | $28,175 |
| 2022 | 6 | 181 | 192 | $190,133 | $36,988 |
| 2021 | 5 | 188 | 207 | $245,978 | $44,407 |
| 2020 | 8 | 229 | 247 | $331,865 | $49,412 |
All Medicare Procedures & Services
23 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2023 | 21 | 21 | $111,762 | $23,139 | 20.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 70 | 77 | $18,865 | $3,540 | 18.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 16 | 16 | $5,760 | $1,219 | 21.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2023 | 11 | 11 | $1,463 | $277.50 | 19.0% |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2022 | 26 | 26 | $159,096 | $29,617 | 18.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 92 | 101 | $18,532 | $4,471 | 24.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 19 | 19 | $4,998 | $1,119 | 22.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 12 | 12 | $3,112 | $885.44 | 28.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 21 | 22 | $2,211 | $573.37 | 25.9% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2022 | 11 | 12 | $2,184 | $322.06 | 14.7% |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2021 | 30 | 30 | $217,621 | $35,000 | 16.1% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 102 | 115 | $15,640 | $5,587 | 35.7% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 28 | 33 | $6,897 | $2,531 | 36.7% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Facility | 2021 | 13 | 13 | $2,652 | $735.90 | 27.7% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Facility | 2021 | 15 | 16 | $3,168 | $552.15 | 17.4% |
| 23472 | Prosthetic repair of shoulder joint | Facility | 2020 | 29 | 30 | $216,180 | $35,661 | 16.5% |
| 23430 | Anchoring of biceps tendon | Facility | 2020 | 15 | 15 | $54,885 | $4,560 | 8.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 94 | 107 | $14,552 | $3,957 | 27.2% |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | Facility | 2020 | 11 | 11 | $33,363 | $1,929 | 5.8% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 17 | 17 | $3,553 | $1,090 | 30.7% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Facility | 2020 | 16 | 16 | $3,264 | $922.47 | 28.3% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Facility | 2020 | 16 | 20 | $3,960 | $753.20 | 19.0% |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | Facility | 2020 | 31 | 31 | $2,108 | $539.92 | 25.6% |
About Dr. April Armstrong, MD
Dr. April Armstrong, MD is a Orthopaedic Surgery healthcare provider based in Hershey, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/14/2006. The National Provider Identifier (NPI) number assigned to this provider is 1225092448.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. April Armstrong, MD has received a total of $636,985 in payments from pharmaceutical and medical device companies, with $260,286 received in 2024. These payments were reported across 204 transactions from 9 companies. The most common payment nature is "Royalty or License" ($509,175).
As a Medicare-enrolled provider, Armstrong has provided services to 716 Medicare beneficiaries, totaling 771 services with total Medicare billing of $158,982. Data is available for 4 years (2020–2023), covering 23 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Location Hershey, PA
- Active Since 04/14/2006
- Last Updated 09/18/2009
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1225092448
Products in Payments
- Identity (Device) $478,484
- Anatomical Shoulder Bigliani/Flatow (Device) $30,692
- Elbow Fracture Fixation System (Device) $19,614
- COSENTYX (Biological) $13,574
- Alliance (Device) $11,750
- Comprehensive Shoulder System (Device) $8,610
- Comp Reverse Shoulder (Device) $7,250
- PD-Extremities-New Product (Device) $2,338
- ALTEON (Device) $2,195
- Proximal Humerus Plate (Device) $1,373
- Trauma (Device) $1,250
- DUPIXENT (Drug) $1,064
- CREO (Device) $751.20
- Product Portfolio (Device) $712.43
- B/F Shoulder (Device) $523.25
- Comp Reverse (Device) $500.00
- Extremities Product Portfolio (Device) $250.00
- Comprehensive Anatomic (Device) $185.55
- Comp Reverse Shoulder E (Device) $173.33
- EQUINOXE (Device) $125.46
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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