Total Payments
$10,892
2024 Payments
$116.66
Companies
22
Transactions
76
Medicare Patients
3,514
Medicare Billing
$295,014
Payment Breakdown by Category
Education$4,578 (42.0%)
Food & Beverage$3,690 (33.9%)
Other$2,163 (19.9%)
Travel$389.20 (3.6%)
Consulting$71.25 (0.7%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $4,578 | 6 | 42.0% |
| Food and Beverage | $3,690 | 63 | 33.9% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $1,500 | 1 | 13.8% |
| Charitable Contribution | $663.00 | 1 | 6.1% |
| Travel and Lodging | $389.20 | 4 | 3.6% |
| Consulting Fee | $71.25 | 1 | 0.7% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Elite Orthopedics, LLC | $4,936 | 9 | $0 (2020) |
| Arthrex, Inc. | $1,569 | 2 | $0 (2018) |
| MEDACTA USA, INC. | $1,074 | 14 | $0 (2024) |
| Checkpoint Surgical, Inc | $663.00 | 1 | $0 (2017) |
| Zimmer Biomet Holdings, Inc. | $481.75 | 5 | $0 (2019) |
| DePuy Synthes Sales Inc. | $413.86 | 6 | $0 (2019) |
| Endo Pharmaceuticals Inc. | $325.60 | 17 | $0 (2023) |
| ACUMED LLC | $274.47 | 2 | $0 (2018) |
| Stryker Corporation | $218.08 | 2 | $0 (2018) |
| Globus Medical, Inc. | $203.41 | 2 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $116.66 | 1 | MEDACTA USA, INC. ($116.66) |
| 2023 | $22.60 | 1 | Endo Pharmaceuticals Inc. ($22.60) |
| 2022 | $104.21 | 6 | Endo Pharmaceuticals Inc. ($64.98) |
| 2021 | $190.68 | 4 | MEDACTA USA, INC. ($160.94) |
| 2020 | $342.95 | 6 | Elite Orthopedics, LLC ($211.59) |
| 2019 | $3,772 | 17 | Elite Orthopedics, LLC ($3,214) |
| 2018 | $4,739 | 28 | Arthrex, Inc. ($1,569) |
| 2017 | $1,604 | 13 | Checkpoint Surgical, Inc ($663.00) |
All Payment Transactions
76 individual payment records from CMS Open Payments — Page 1 of 4
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 01/20/2024 | MEDACTA USA, INC. | Shoulder System (Device) | Food and Beverage | Cash or cash equivalent | $116.66 | General |
| Category: SHOULDER | ||||||
| 10/20/2023 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $22.60 | General |
| Category: ORTHOPEDIC | ||||||
| 11/23/2022 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $16.94 | General |
| Category: ORTHOPEDIC | ||||||
| 09/07/2022 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $15.22 | General |
| Category: ORTHOPEDIC | ||||||
| 08/10/2022 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $16.57 | General |
| Category: ORTHOPEDIC | ||||||
| 07/19/2022 | Ethicon US, LLC | STRATAFIX (Device), SURGIFLO Hemostatic Matrix | Food and Beverage | In-kind items and services | $13.14 | General |
| Category: Wound Closure | ||||||
| 06/17/2022 | MEDACTA USA, INC. | PRIMARY SHOULDER (Device) | Food and Beverage | Cash or cash equivalent | $26.09 | General |
| Category: SHOULDER | ||||||
| 06/10/2022 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $16.25 | General |
| Category: ORTHOPEDIC | ||||||
| 10/28/2021 | MEDACTA USA, INC. | REVERSE SHOULDER (Device) | Food and Beverage | Cash or cash equivalent | $117.16 | General |
| Category: SHOULDER | ||||||
| 10/28/2021 | MEDACTA USA, INC. | MECTA (Device) | Food and Beverage | Cash or cash equivalent | $43.78 | General |
| Category: SPORTS MEDICINE | ||||||
| 04/08/2021 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $12.54 | General |
| Category: ORTHOPEDIC | ||||||
| 01/28/2021 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $17.20 | General |
| Category: ORTHOPEDIC | ||||||
| 11/04/2020 | Elite Orthopedics, LLC | — | Food and Beverage | In-kind items and services | $89.13 | General |
| 10/12/2020 | Arthrosurface Incorporated | SpeedSpiral (Device) | Food and Beverage | In-kind items and services | $77.59 | General |
| Category: Allograft | ||||||
| 06/23/2020 | Medacta USA, Inc. | PRIMARY SHOULDER (Device) | Food and Beverage | Cash or cash equivalent | $24.67 | General |
| Category: SHOULDER | ||||||
| 03/10/2020 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $13.56 | General |
| Category: ORTHOPEDIC | ||||||
| 02/26/2020 | Elite Orthopedics, LLC | — | Food and Beverage | In-kind items and services | $122.46 | General |
| 01/16/2020 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $15.54 | General |
| Category: ORTHOPEDIC | ||||||
| 12/18/2019 | AXOGEN | AxoGuard Nerve Connector (Device), AxoGuard Nerve Protector | Food and Beverage | In-kind items and services | $19.77 | General |
| Category: Neurology | ||||||
| 12/12/2019 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $15.42 | General |
| Category: ORTHOPEDIC | ||||||
| 09/25/2019 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $15.25 | General |
| Category: ORTHOPEDIC | ||||||
| 07/27/2019 | MEDACTA USA, INC. | AMISTEM (Device), GMK SPHERE | Food and Beverage | Cash or cash equivalent | $9.15 | General |
| Category: HIP | ||||||
| 07/26/2019 | MEDACTA USA, INC. | AMISTEM (Device), GMK SPHERE | Food and Beverage | Cash or cash equivalent | $103.62 | General |
| Category: HIP | ||||||
| 07/24/2019 | Elite Orthopedics, LLC | — | Education | In-kind items and services | $1,284.00 | General |
| 07/21/2019 | ConvaTec Inc. | AQUACEL AG (Device), AVELLE | Food and Beverage | Cash or cash equivalent | $22.57 | General |
| Category: WOUND THERAPEUTICS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 17 | 824 | 1,155 | $199,856 | $54,393 |
| 2022 | 15 | 706 | 984 | $247,228 | $53,590 |
| 2021 | 22 | 1,044 | 1,498 | $523,352 | $102,517 |
| 2020 | 19 | 940 | 1,354 | $417,453 | $84,514 |
Total Patients
3,514
Total Services
4,991
Medicare Billing
$295,014
Procedure Codes
73
All Medicare Procedures & Services
73 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 115 | 162 | $29,160 | $9,960 | 34.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 82 | 100 | $26,300 | $9,447 | 35.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 58 | 58 | $23,606 | $7,108 | 30.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 60 | 60 | $16,020 | $4,171 | 26.0% |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | Office | 2023 | 40 | 50 | $13,272 | $3,761 | 28.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 65 | 86 | $9,288 | $3,151 | 33.9% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 74 | 110 | $14,300 | $2,699 | 18.9% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 49 | 69 | $12,212 | $2,480 | 20.3% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2023 | 47 | 84 | $9,660 | $2,472 | 25.6% |
| 26055 | Incision of tendon covering of finger | Facility | 2023 | 11 | 12 | $19,140 | $2,296 | 12.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 20 | 35 | $8,536 | $1,880 | 22.0% |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Office | 2023 | 131 | 231 | $4,620 | $1,134 | 24.6% |
| 20606 | Aspiration and/or injection of fluid from medium joint using ultrasound guidance | Office | 2023 | 12 | 13 | $3,296 | $970.16 | 29.4% |
| 73140 | X-ray of finger, minimum of 2 views | Office | 2023 | 22 | 36 | $3,096 | $962.04 | 31.1% |
| 20604 | Aspiration and/or injection of fluid from small joint using ultrasound guidance | Office | 2023 | 12 | 13 | $2,632 | $734.03 | 27.9% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2023 | 15 | 25 | $2,650 | $714.75 | 27.0% |
| 72050 | X-ray of upper spine, 4-5 views | Office | 2023 | 11 | 11 | $2,068 | $453.64 | 21.9% |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2022 | 11 | 12 | $106,104 | $13,827 | 13.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 119 | 161 | $28,980 | $10,346 | 35.7% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 96 | 96 | $25,632 | $7,119 | 27.8% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 73 | 109 | $11,772 | $4,477 | 38.0% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2022 | 73 | 129 | $16,770 | $3,245 | 19.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 32 | 33 | $8,679 | $2,658 | 30.6% |
| 20550 | Injection into tendon or ligament | Office | 2022 | 40 | 60 | $11,352 | $2,434 | 21.4% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2022 | 43 | 72 | $8,280 | $2,243 | 27.1% |
About Dr. Richard Howard, DO
Dr. Richard Howard, DO is a Orthopaedic Surgery healthcare provider based in Saint Louis, Missouri. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/31/2006. The National Provider Identifier (NPI) number assigned to this provider is 1558332106.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Richard Howard, DO has received a total of $10,892 in payments from pharmaceutical and medical device companies, with $116.66 received in 2024. These payments were reported across 76 transactions from 22 companies. The most common payment nature is "Education" ($4,578).
As a Medicare-enrolled provider, Howard has provided services to 3,514 Medicare beneficiaries, totaling 4,991 services with total Medicare billing of $295,014. Data is available for 4 years (2020–2023), covering 73 distinct procedure/service records.
Ad
Practice Information
- Specialty Orthopaedic Surgery
- Location Saint Louis, MO
- Active Since 01/31/2006
- Last Updated 10/17/2007
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1558332106
Products in Payments
- Checkpoint Stimulators (Device) $663.00
- GMK Sphere (Device) $519.45
- XIAFLEX (Biological) $325.60
- Acutrak Headless Compression Screw System (Device) $274.47
- Geminus (Device) $174.82
- AXSOS (Device) $146.83
- AUGMENT (Device) $137.83
- ACTIS (Device) $124.24
- REVERSE SHOULDER (Device) $117.16
- Shoulder System (Device) $116.66
- AMISTEM (Device) $112.77
- GLOBAL (Device) $108.03
- Rotation Medical Arthroscopic Instrument Kit (Device) $108.00
- COALITION AGX (Device) $105.22
- Alps Plates and Instruments (Device) $104.94
- Compositcp (Device) $104.58
- DVR Crosslock Plates/Screws/Pegs (Device) $102.54
- LCP PLATES & SCREWS (Device) $101.08
- ALTERA (Device) $98.19
- TransFX (Device) $90.82
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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