Total Payments
$178,738
2024 Payments
$705.00
Companies
40
Transactions
219
Medicare Patients
2,206
Medicare Billing
$226,463
Payment Breakdown by Category
Other$153,080 (85.6%)
Food & Beverage$11,344 (6.3%)
Education$6,612 (3.7%)
Travel$5,677 (3.2%)
Consulting$2,025 (1.1%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Acquisitions | $151,694 | 1 | 84.9% |
| Food and Beverage | $11,344 | 192 | 6.3% |
| Education | $6,612 | 6 | 3.7% |
| Travel and Lodging | $5,677 | 16 | 3.2% |
| Consulting Fee | $2,025 | 2 | 1.1% |
| Honoraria | $1,386 | 1 | 0.8% |
| Unspecified | $0 | 1 | 0.0% |
Payments by Type
General
$178,738
218 transactions
Ownership
$0
1 transactions
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| ENCORE MEDICAL, LP | $151,733 | 2 | $0 (2021) |
| Arthrex, Inc. | $5,125 | 27 | $0 (2023) |
| SportsTek Medical, Inc | $3,959 | 4 | $0 (2019) |
| AXOGEN | $3,071 | 11 | $0 (2023) |
| Stryker Corporation | $2,659 | 49 | $0 (2024) |
| Wright Medical Technology, Inc. | $2,154 | 31 | $0 (2019) |
| Trice Medical, Inc. | $2,025 | 2 | $0 (2019) |
| TriMed, Inc. | $1,522 | 2 | $0 (2023) |
| DJO, LLC | $1,452 | 8 | $0 (2017) |
| Elevate Surgical CO | $1,419 | 13 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $705.00 | 12 | Stryker Corporation ($196.62) |
| 2023 | $4,372 | 36 | TriMed, Inc. ($1,522) |
| 2022 | $3,446 | 16 | Arthrex, Inc. ($1,856) |
| 2021 | $152,908 | 21 | ENCORE MEDICAL, LP ($151,694) |
| 2020 | $97.47 | 5 | Bioventus LLC ($29.33) |
| 2019 | $7,637 | 27 | AXOGEN ($2,546) |
| 2018 | $4,032 | 19 | Arthrex, Inc. ($2,282) |
| 2017 | $5,540 | 83 | Wright Medical Technology, Inc. ($2,055) |
All Payment Transactions
219 individual payment records from CMS Open Payments — Page 1 of 9
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/29/2024 | ILLUMINOSS MEDICAL, INC. | Photodynamic Bone Stabilization Procedure Pack (Device) | Food and Beverage | In-kind items and services | $33.45 | General |
| Category: Orthopedic | ||||||
| 11/21/2024 | Smith+Nephew, Inc. | Katalyst Bipolar Radial Head System (Device) | Food and Beverage | In-kind items and services | $42.81 | General |
| Category: Extremity, Upper | ||||||
| 08/21/2024 | Elevate Surgical CO | — | Food and Beverage | In-kind items and services | $89.89 | General |
| 08/06/2024 | Skeletal Dynamics Inc | Geminus (Device), Align, IJS | Food and Beverage | Cash or cash equivalent | $57.94 | General |
| Category: Orthopedic | ||||||
| 08/04/2024 | Smith+Nephew, Inc. | AETOS Shoulder System (Device) | Food and Beverage | In-kind items and services | $45.76 | General |
| Category: Recon Shoulders or Extremity, Upper | ||||||
| 07/24/2024 | Endo USA, Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $17.40 | General |
| Category: ORTHOPEDIC | ||||||
| 04/11/2024 | KLS-Martin L.P. | — | Food and Beverage | Cash or cash equivalent | $147.01 | General |
| Category: Osteosynthesis | ||||||
| 02/28/2024 | Bioventus LLC | EXOGEN ULTRASOUND BONE HEALING SYSTEM (Device) | Food and Beverage | In-kind items and services | $19.94 | General |
| Category: DEVICES | ||||||
| 02/16/2024 | Nevro Corp. | Senza (Device) | Food and Beverage | In-kind items and services | $22.11 | General |
| Category: Spinal Cord Stimulator | ||||||
| 02/06/2024 | Stryker Corporation | AEQUALIS PERFORM (Device) | Food and Beverage | In-kind items and services | $24.93 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 01/23/2024 | ILLUMINOSS MEDICAL, INC. | Photodynamic Bone Stabilization Procedure Pack (Device) | Food and Beverage | In-kind items and services | $32.07 | General |
| Category: Orthopedic | ||||||
| 01/09/2024 | Stryker Corporation | T2 ALPHA (Device) | Food and Beverage | In-kind items and services | $171.69 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 12/08/2023 | Elevate Surgical Co | — | Food and Beverage | In-kind items and services | $135.40 | General |
| 11/21/2023 | Arthrex, Inc. | DISTAL EXTREMITIES IMPLANTS SOFT TISSUE H&W MINI TIGHTROPES (Device) | Food and Beverage | In-kind items and services | $31.41 | General |
| Category: Distal Extremities - Implants - Soft Tissue - H&W Mini Tightropes | ||||||
| 10/26/2023 | IlluminOss Medical, Inc. | Photodynamic Bone Stabilization Procedure Pack (Device) | Food and Beverage | In-kind items and services | $39.71 | General |
| Category: Orthopedic | ||||||
| 10/13/2023 | Stryker Corporation | GAMMA (Device) | Food and Beverage | In-kind items and services | $134.56 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 10/11/2023 | KLS-Martin L.P. | — | Food and Beverage | Cash or cash equivalent | $161.02 | General |
| 09/30/2023 | Elevate Surgical Co | — | Food and Beverage | In-kind items and services | $115.70 | General |
| 09/30/2023 | Elevate Surgical Co | — | Food and Beverage | In-kind items and services | $5.35 | General |
| 09/15/2023 | Stryker Corporation | GAMMA (Device) | Food and Beverage | In-kind items and services | $157.40 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 08/22/2023 | Elevate Surgical Co | — | Food and Beverage | In-kind items and services | $147.87 | General |
| 08/16/2023 | Stryker Corporation | GAMMA (Device) | Food and Beverage | In-kind items and services | $53.11 | General |
| Category: NAILS | ||||||
| 07/12/2023 | Elevate Surgical Co | — | Food and Beverage | In-kind items and services | $16.03 | General |
| 05/03/2023 | Orthofix Medical, Inc. | Physio-Stim (Device), Physio-Stim | Food and Beverage | In-kind items and services | $18.67 | General |
| Category: Stimulator, Bone Growth, Non-Invasive | ||||||
| 04/21/2023 | TriMed, Inc. | — | Food and Beverage | Cash or cash equivalent | $865.57 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 17 | 577 | 842 | $180,562 | $50,147 |
| 2022 | 16 | 598 | 843 | $212,965 | $61,798 |
| 2021 | 18 | 600 | 876 | $240,336 | $62,458 |
| 2020 | 13 | 431 | 683 | $270,870 | $52,061 |
Total Patients
2,206
Total Services
3,244
Medicare Billing
$226,463
Procedure Codes
64
All Medicare Procedures & Services
64 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 68 | 88 | $30,888 | $9,006 | 29.2% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 40 | 55 | $26,840 | $7,843 | 29.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 53 | 53 | $23,903 | $6,845 | 28.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 68 | 89 | $22,072 | $6,304 | 28.6% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 35 | 35 | $20,790 | $5,571 | 26.8% |
| 20606 | Aspiration and/or injection of fluid from medium joint using ultrasound guidance | Office | 2023 | 18 | 28 | $6,832 | $2,153 | 31.5% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 15 | 15 | $9,721 | $2,143 | 22.0% |
| 95851 | Measurement of range of motion in arm, leg or each spine section | Office | 2023 | 56 | 92 | $5,888 | $1,664 | 28.3% |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | Office | 2023 | 13 | 16 | $4,352 | $1,436 | 33.0% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 18 | 31 | $4,712 | $1,279 | 27.2% |
| 76882 | Limited ultrasound scan of joint or other extremity structure except blood vessels | Office | 2023 | 28 | 36 | $5,724 | $1,259 | 22.0% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2023 | 23 | 36 | $3,708 | $1,214 | 32.7% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2023 | 18 | 33 | $3,795 | $1,199 | 31.6% |
| 95852 | Measurement of range of motion of hand | Office | 2023 | 46 | 70 | $3,570 | $1,081 | 30.3% |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Office | 2023 | 50 | 136 | $2,312 | $709.80 | 30.7% |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | Facility | 2023 | 16 | 16 | $3,591 | $277.12 | 7.7% |
| 76000 | Imaging guidance for procedure, 60 minutes or less | Facility | 2023 | 12 | 13 | $1,864 | $163.80 | 8.8% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 57 | 86 | $41,968 | $12,717 | 30.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 74 | 109 | $38,259 | $11,446 | 29.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 64 | 64 | $28,864 | $7,378 | 25.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 74 | 95 | $23,353 | $6,458 | 27.7% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 30 | 30 | $17,820 | $5,489 | 30.8% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 28 | 29 | $16,101 | $4,623 | 28.7% |
| 76882 | Limited ultrasound scan of joint or other extremity structure lacking blood vessels | Office | 2022 | 37 | 46 | $7,314 | $2,286 | 31.3% |
| 20606 | Aspiration and/or injection of fluid from medium joint using ultrasound guidance | Office | 2022 | 18 | 29 | $7,076 | $2,016 | 28.5% |
About Dr. Kristopher Downing, MD
Dr. Kristopher Downing, MD is a Hand Surgery healthcare provider based in La Jolla, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/12/2006. The National Provider Identifier (NPI) number assigned to this provider is 1851451439.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Kristopher Downing, MD has received a total of $178,738 in payments from pharmaceutical and medical device companies, with $705.00 received in 2024. These payments were reported across 219 transactions from 40 companies. The most common payment nature is "Acquisitions" ($151,694).
As a Medicare-enrolled provider, Downing has provided services to 2,206 Medicare beneficiaries, totaling 3,244 services with total Medicare billing of $226,463. Data is available for 4 years (2020–2023), covering 64 distinct procedure/service records.
Ad
Practice Information
- Specialty Hand Surgery
- Other Specialties Orthopaedic Surgery
- Location La Jolla, CA
- Active Since 12/12/2006
- Last Updated 06/25/2019
- Taxonomy Code 207XS0106X
- Entity Type Individual
- NPI Number 1851451439
Products in Payments
- Segway blade or mieye camera (Device) $2,025
- AxoGuard Nerve Connector (Device) $1,792
- AEQUALIS (Device) $1,399
- AxoGuard Nerve Protector (Device) $780.43
- Avance Nerve Graft (Device) $498.66
- SIMPLICITI (Device) $389.16
- Variax (Device) $383.46
- GAMMA (Device) $345.07
- XIAFLEX (Biological) $316.33
- T2 (Device) $309.39
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET (Device) $306.34
- BLUEPRINT PSI SYSTEM (Device) $208.83
- BIOBRACE 23MM (Device) $198.96
- Catalyst Total CSR (Device) $183.18
- T2 ALPHA (Device) $171.69
- AEQUALIS PERFORM REVERSED (Device) $164.32
- AEQUALIS PERFORM (Device) $157.93
- OMEGA (Device) $154.44
- INFINITY (Device) $138.34
- MAKO (Device) $125.31
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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.