Total Payments
$5,516
2024 Payments
$2,036
Companies
5
Transactions
49
Medicare Patients
3,969
Medicare Billing
$371,607
Payment Breakdown by Category
Travel$2,883 (52.3%)
Food & Beverage$2,633 (47.7%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $2,883 | 7 | 52.3% |
| Food and Beverage | $2,633 | 42 | 47.7% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Stryker Corporation | $3,267 | 33 | $0 (2023) |
| Zimmer Biomet Holdings, Inc. | $2,069 | 11 | $0 (2024) |
| Smith+Nephew, Inc. | $128.05 | 3 | $0 (2024) |
| Ethicon US, LLC | $34.36 | 1 | $0 (2024) |
| Pacira Pharmaceuticals Incorporated | $17.11 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $2,036 | 12 | Zimmer Biomet Holdings, Inc. ($1,979) |
| 2023 | $148.64 | 4 | Smith+Nephew, Inc. ($106.33) |
| 2022 | $349.68 | 4 | Stryker Corporation ($349.68) |
| 2021 | $89.63 | 1 | Zimmer Biomet Holdings, Inc. ($89.63) |
| 2020 | $147.89 | 2 | Stryker Corporation ($147.89) |
| 2019 | $233.29 | 4 | Stryker Corporation ($233.29) |
| 2018 | $621.87 | 11 | Stryker Corporation ($621.87) |
| 2017 | $1,889 | 11 | Stryker Corporation ($1,889) |
All Payment Transactions
49 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/30/2024 | Zimmer Biomet Holdings, Inc. | Arcos (Device) | Travel and Lodging | In-kind items and services | $1,152.22 | General |
| Category: Hips | ||||||
| 12/07/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $96.96 | General |
| Category: Knees | ||||||
| 12/07/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $83.78 | General |
| Category: Knees | ||||||
| 12/07/2024 | Zimmer Biomet Holdings, Inc. | ROSA (Device) | Food and Beverage | In-kind items and services | $3.43 | General |
| Category: Knees | ||||||
| 12/06/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $181.55 | General |
| Category: Knees | ||||||
| 12/06/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $132.29 | General |
| Category: Knees | ||||||
| 12/06/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $83.78 | General |
| Category: Knees | ||||||
| 12/06/2024 | Zimmer Biomet Holdings, Inc. | ROSA (Device) | Food and Beverage | In-kind items and services | $57.08 | General |
| Category: Knees | ||||||
| 12/06/2024 | Zimmer Biomet Holdings, Inc. | ROSA (Device) | Food and Beverage | In-kind items and services | $55.09 | General |
| Category: Knees | ||||||
| 12/05/2024 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $133.28 | General |
| Category: Knees | ||||||
| 07/23/2024 | Ethicon US, LLC | VISTASEAL (Biological) | Food and Beverage | In-kind items and services | $34.36 | General |
| Category: Biosurgical | ||||||
| 03/22/2024 | Smith+Nephew, Inc. | Pico 14 (Device), PICO 7 | Food and Beverage | In-kind items and services | $21.72 | General |
| Category: Negative Pressure Wound Therapy | ||||||
| 06/30/2023 | Pacira Pharmaceuticals Incorporated | Exparel (Drug), Iovera, Zilretta | Food and Beverage | In-kind items and services | $17.11 | General |
| Category: Pain Management | ||||||
| 04/28/2023 | Smith+Nephew, Inc. | Bone Anchors with Arthroscopic Delivery System (Device) | Food and Beverage | In-kind items and services | $31.19 | General |
| Category: Extremities & Limb Restoration | ||||||
| 02/23/2023 | Smith+Nephew, Inc. | HEALICOIL (Device), Bone Anchors with Arthroscopic Delivery System | Food and Beverage | In-kind items and services | $75.14 | General |
| Category: Sports Med Shoulder | ||||||
| 02/08/2023 | Stryker Corporation | VARIAX (Device) | Food and Beverage | In-kind items and services | $25.20 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 12/16/2022 | Stryker Corporation | TRIATHLON (Device) | Food and Beverage | In-kind items and services | $24.40 | General |
| Category: KNEES | ||||||
| 03/03/2022 | Stryker Corporation | MAKO (Device) | Travel and Lodging | Cash or cash equivalent | $139.00 | General |
| Category: KNEES, HIPS | ||||||
| 03/03/2022 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $81.93 | General |
| Category: KNEES, HIPS | ||||||
| 01/27/2022 | Stryker Corporation | TRIATHLON (Device), MAKO | Food and Beverage | In-kind items and services | $104.35 | General |
| Category: KNEES | ||||||
| 09/16/2021 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $89.63 | General |
| Category: Knees | ||||||
| 11/12/2020 | Stryker Corporation | MAKO (Device) | Food and Beverage | Cash or cash equivalent | $32.20 | General |
| Category: KNEES, HIPS | ||||||
| 03/05/2020 | Stryker Corporation | MAKO (Device) | Food and Beverage | Cash or cash equivalent | $115.69 | General |
| Category: KNEES, HIPS | ||||||
| 04/25/2019 | Stryker Corporation | MAKO (Device) | Food and Beverage | Cash or cash equivalent | $32.67 | General |
| Category: KNEES, HIPS | ||||||
| 03/15/2019 | Stryker Corporation | MAKO (Device) | Food and Beverage | Cash or cash equivalent | $28.71 | General |
| Category: KNEES, HIPS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 19 | 1,964 | 7,606 | $612,156 | $178,627 |
| 2022 | 14 | 1,224 | 3,600 | $333,048 | $119,611 |
| 2021 | 4 | 300 | 350 | $65,355 | $20,615 |
| 2020 | 7 | 481 | 573 | $185,111 | $52,754 |
Total Patients
3,969
Total Services
12,129
Medicare Billing
$371,607
Procedure Codes
44
All Medicare Procedures & Services
44 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 320 | 442 | $69,128 | $31,004 | 44.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 170 | 170 | $55,250 | $19,864 | 36.0% |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | Office | 2023 | 39 | 3,540 | $67,260 | $18,289 | 27.2% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 251 | 313 | $86,941 | $17,784 | 20.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 155 | 179 | $39,201 | $17,459 | 44.5% |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | Facility | 2023 | 16 | 16 | $75,984 | $16,569 | 21.8% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2023 | 13 | 14 | $71,134 | $14,705 | 20.7% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 108 | 108 | $21,060 | $8,899 | 42.3% |
| 73562 | X-ray of knee, 3 views | Office | 2023 | 225 | 278 | $33,000 | $8,820 | 26.7% |
| 73560 | X-ray of knee, 1-2 views | Office | 2023 | 184 | 241 | $23,040 | $6,539 | 28.4% |
| 29881 | Removal of knee cartilage using an endoscope | Facility | 2023 | 12 | 12 | $26,400 | $5,408 | 20.5% |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Office | 2023 | 135 | 763 | $8,393 | $3,857 | 46.0% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 79 | 101 | $10,500 | $2,733 | 26.0% |
| 73501 | X-ray of hip, 1 view | Office | 2023 | 68 | 88 | $7,771 | $2,263 | 29.1% |
| 73610 | X-ray of ankle, minimum of 3 views | Office | 2023 | 30 | 50 | $4,850 | $1,446 | 29.8% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 112 | 1,240 | $6,200 | $1,017 | 16.4% |
| 73630 | X-ray of foot, minimum of 3 views | Office | 2023 | 20 | 24 | $2,259 | $670.51 | 29.7% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 13 | 13 | $1,755 | $659.89 | 37.6% |
| 73522 | X-ray of both hips, 3-4 views | Office | 2023 | 14 | 14 | $2,030 | $638.40 | 31.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 153 | 153 | $49,725 | $20,406 | 41.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 154 | 225 | $33,525 | $16,867 | 50.3% |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | Office | 2022 | 18 | 1,620 | $30,780 | $16,777 | 54.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 144 | 161 | $35,577 | $16,444 | 46.2% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2022 | 11 | 12 | $60,972 | $12,912 | 21.2% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 142 | 177 | $47,670 | $10,503 | 22.0% |
About Dr. Khaled Instrum, M.D
Dr. Khaled Instrum, M.D is a Orthopaedic Surgery healthcare provider based in North Conway, New Hampshire. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/16/2006. The National Provider Identifier (NPI) number assigned to this provider is 1891774097.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Khaled Instrum, M.D has received a total of $5,516 in payments from pharmaceutical and medical device companies, with $2,036 received in 2024. These payments were reported across 49 transactions from 5 companies. The most common payment nature is "Travel and Lodging" ($2,883).
As a Medicare-enrolled provider, Instrum has provided services to 3,969 Medicare beneficiaries, totaling 12,129 services with total Medicare billing of $371,607. Data is available for 4 years (2020–2023), covering 44 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery
- Other Specialties Orthopaedic Surgery
- Location North Conway, NH
- Active Since 01/16/2006
- Last Updated 01/24/2022
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1891774097
Products in Payments
- Arcos (Device) $1,152
- MAKO (Device) $967.40
- ReUnion (Device) $858.24
- Makoplasty (Device) $803.50
- Persona (Device) $801.27
- TRIATHLON (Device) $196.18
- TRIDENT (Device) $143.46
- Mako (Device) $121.92
- ROSA (Device) $115.60
- Variax (Device) $87.73
- HEALICOIL (Device) $75.14
- VARIAX (Device) $43.51
- VISTASEAL (Biological) $34.36
- Bone Anchors with Arthroscopic Delivery System (Device) $31.19
- RIO (Device) $27.38
- Pico 14 (Device) $21.72
- Reunion (Device) $18.00
- Exparel (Drug) $17.11
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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.