Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $5.2M | 121 | 64.4% |
| Consulting Fee | $2.6M | 80 | 32.2% |
| Travel and Lodging | $190,180 | 314 | 2.4% |
| Unspecified | $33,863 | 2 | 0.4% |
| Honoraria | $33,200 | 2 | 0.4% |
| Food and Beverage | $17,370 | 242 | 0.2% |
Payments by Type
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| MEDACTA USA, INC. | $6.0M | 663 | $0 (2024) |
| Zimmer Biomet Holdings, Inc. | $1.8M | 63 | $0 (2023) |
| Think Surgical, Inc. | $236,552 | 30 | $0 (2019) |
| OrthoSensor Inc. | $78.21 | 1 | $0 (2018) |
| Paragon 28, Inc. | $55.01 | 1 | $0 (2021) |
| Stryker Corporation | $29.74 | 1 | $0 (2019) |
| ORTHALIGN INC | $29.24 | 1 | $0 (2017) |
| Heraeus Medical, LLC. | $16.24 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1.8M | 145 | MEDACTA USA, INC. ($1.8M) |
| 2023 | $1.2M | 110 | Medacta USA, Inc. ($1.0M) |
| 2022 | $1.0M | 67 | MEDACTA USA, INC. ($784,190) |
| 2021 | $911,541 | 84 | MEDACTA USA, INC. ($690,910) |
| 2020 | $757,999 | 76 | Medacta USA, Inc. ($551,908) |
| 2019 | $997,773 | 125 | MEDACTA USA, INC. ($675,237) |
| 2018 | $778,386 | 102 | Medacta USA, Inc. ($387,019) |
| 2017 | $500,037 | 52 | Zimmer Biomet Holdings, Inc. ($387,981) |
All Payment Transactions
761 individual payment records from CMS Open Payments — Page 1 of 31
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $1,202.35 | General |
| Category: knee | ||||||
| 12/18/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $4.00 | General |
| Category: knee | ||||||
| 12/08/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $53.41 | General |
| Category: knee | ||||||
| 12/07/2024 | MEDACTA USA, INC. | AMIStem H Femoral Stems (Device) | Travel and Lodging | Cash or cash equivalent | $147.00 | General |
| Category: HIP | ||||||
| 12/07/2024 | MEDACTA USA, INC. | AMIStem H Femoral Stems (Device) | Food and Beverage | Cash or cash equivalent | $106.00 | General |
| Category: HIP | ||||||
| 12/06/2024 | MEDACTA USA, INC. | AMIStem H Femoral Stems (Device) | Travel and Lodging | Cash or cash equivalent | $299.32 | General |
| Category: HIP | ||||||
| 12/06/2024 | MEDACTA USA, INC. | AMIStem H Femoral Stems (Device) | Food and Beverage | Cash or cash equivalent | $146.25 | General |
| Category: HIP | ||||||
| 11/21/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Consulting Fee | Cash or cash equivalent | $101,650.00 | General |
| Category: knee | ||||||
| 11/12/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Royalty or License | Cash or cash equivalent | $164,134.00 | General |
| Category: knee | ||||||
| 11/12/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Royalty or License | Cash or cash equivalent | $85,993.55 | General |
| Category: knee | ||||||
| 11/12/2024 | MEDACTA USA, INC. | MyKnee (Device) | Royalty or License | Cash or cash equivalent | $47,340.00 | General |
| Category: KNEE | ||||||
| 11/12/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Royalty or License | Cash or cash equivalent | $45,988.06 | General |
| Category: knee | ||||||
| 11/12/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Royalty or License | Cash or cash equivalent | $8,374.06 | General |
| Category: knee | ||||||
| 11/12/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Royalty or License | Cash or cash equivalent | $5,265.00 | General |
| Category: knee | ||||||
| 11/10/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $1,165.73 | General |
| Category: knee | ||||||
| 11/08/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $120.00 | General |
| Category: knee | ||||||
| 11/08/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $59.00 | General |
| Category: knee | ||||||
| 11/08/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $59.00 | General |
| Category: knee | ||||||
| 11/07/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $120.00 | General |
| Category: knee | ||||||
| 10/26/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $104.00 | General |
| Category: knee | ||||||
| 10/26/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $18.91 | General |
| Category: knee | ||||||
| 10/25/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $474.44 | General |
| Category: knee | ||||||
| 10/25/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $146.76 | General |
| Category: knee | ||||||
| 10/25/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Travel and Lodging | Cash or cash equivalent | $112.00 | General |
| Category: knee | ||||||
| 10/25/2024 | MEDACTA USA, INC. | GMK Sphere Revision System (Device) | Food and Beverage | Cash or cash equivalent | $78.00 | General |
| Category: knee | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| GMK SPHERE | MEDACTA USA, INC. | $25,863 | 1 |
| Medacta GMK SpheriKA and SpheriKA ST Study | MEDACTA USA, INC. | $8,000 | 1 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 588 | 743 | $861,240 | $270,745 |
| 2022 | 6 | 575 | 686 | $656,386 | $231,501 |
| 2021 | 6 | 600 | 723 | $709,837 | $261,293 |
| 2020 | 6 | 566 | 703 | $660,315 | $238,528 |
All Medicare Procedures & Services
25 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2023 | 200 | 220 | $732,302 | $227,544 | 31.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 183 | 183 | $44,652 | $15,126 | 33.9% |
| 27486 | Revision of component of total knee joint prosthesis | Facility | 2023 | 12 | 12 | $42,960 | $13,518 | 31.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 105 | 116 | $32,480 | $11,434 | 35.2% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 38 | 40 | $5,830 | $2,179 | 37.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 11 | 12 | $2,376 | $811.99 | 34.2% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 39 | 160 | $640.00 | $133.15 | 20.8% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2022 | 184 | 195 | $563,314 | $200,153 | 35.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 219 | 219 | $53,436 | $16,985 | 31.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 100 | 115 | $32,200 | $11,604 | 36.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 31 | 32 | $4,608 | $1,813 | 39.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 12 | 12 | $2,376 | $843.99 | 35.5% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 29 | 113 | $452.00 | $102.49 | 22.7% |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | Facility | 2021 | 199 | 216 | $616,464 | $227,051 | 36.8% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 215 | 215 | $50,310 | $18,128 | 36.0% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 115 | 131 | $35,770 | $13,168 | 36.8% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2021 | 28 | 30 | $4,050 | $1,662 | 41.0% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 15 | 15 | $2,895 | $1,166 | 40.3% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2021 | 28 | 116 | $348.00 | $116.84 | 33.6% |
| 27447 | Repair of knee joint | Facility | 2020 | 174 | 186 | $570,276 | $208,702 | 36.6% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 213 | 213 | $53,463 | $17,479 | 32.7% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 91 | 109 | $27,686 | $9,223 | 33.3% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2020 | 37 | 38 | $5,510 | $1,946 | 35.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 16 | 16 | $2,816 | $1,020 | 36.2% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2020 | 35 | 141 | $564.00 | $158.54 | 28.1% |
About Dr. Stephen Howell, M.D
Dr. Stephen Howell, M.D is a Orthopaedic Surgery healthcare provider based in Sacramento, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/03/2006. The National Provider Identifier (NPI) number assigned to this provider is 1972697704.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Stephen Howell, M.D has received a total of $8.0M in payments from pharmaceutical and medical device companies, with $1.8M received in 2024. These payments were reported across 761 transactions from 8 companies. The most common payment nature is "Royalty or License" ($5.2M).
As a Medicare-enrolled provider, Howell has provided services to 2,329 Medicare beneficiaries, totaling 2,855 services with total Medicare billing of $1.0M. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Other Specialties Adult Reconstructive Orthopaedic Surgery, Sports Medicine
- Location Sacramento, CA
- Active Since 10/03/2006
- Last Updated 08/31/2015
- Taxonomy Code 207X00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1972697704
Products in Payments
- GMK Sphere Revision System (Device) $1.7M
- GMK SPHERE (Device) $1.2M
- MYKNEE (Device) $1.2M
- GMK Sphere (Device) $956,916
- EZ Loc Fmrl Fixation (Device) $781,937
- Toggleloc (Device) $617,801
- MyKnee (Device) $513,674
- EZLoc (Device) $321,480
- Tsolution One Surgical System (Medical Supply) $236,552
- GMK (Device) $55,944
- MOTO Partial Knee System (Device) $53,700
- ACL (Device) $53,291
- Persona (Device) $40,874
- Knee Instruments (Device) $8,000
- AMISTEM (Device) $6,397
- Trac Anatomic Ilok Femorals (Device) $3,500
- AMIStem H Femoral Stems (Device) $3,228
- Fuzion (Device) $2,400
- AMIStem (Device) $1,390
- Nexel Elbow (Device) $897.82
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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