Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

April Armstrong

Orthopaedic Surgery Hershey, PA Medical Doctor

NPI 1225092448 CMS profile 191550

500 University Dr, Hershey, PA 17033

Open in the dashboard

General payments

$908,486

159 records reported · program years 2019–2025

Research payments

$1,357

Paid to them · 2 records reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$139,065 paid to institutions, not to them · program year 2025

Through program year 2025, April Armstrong of Hershey, PA is reported in the CMS Open Payments database as having received $908,486 across 159 general payments and $1,357 in research payments paid to them. Separately, studies naming them as principal investigator received $139,065 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 98th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $317,334 26
2025 Research $1,357 2
2024 General $260,286 44
2023 General $185,067 53
2022 General $122,843 4
2021 General $3,375 7
2020 General $2,338 4
2019 General $17,243 21

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • April Armstrong
  • Orthopaedic Surgery median
  • Middle half of Orthopaedic Surgery
  • National median

In program year 2025, general payments to April Armstrong were reported at $317,334. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.

Show as a table
Year April Armstrong Orthopaedic Surgery median Middle half National median
2019 $17,243 $644 $140–$2,844 $163
2020 $2,338 $312 $75–$1,860 $114
2021 $3,375 $520 $117–$2,495 $132
2022 $122,843 $598 $128–$2,731 $149
2023 $185,067 $461 $128–$2,264 $160
2024 $260,286 $497 $134–$2,475 $164
2025 $317,334 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Zimmer Biomet Holdings, Inc. $881,872 129 payments
  2. Novartis Pharmaceuticals Corporation $12,472 9 payments
  3. Globus Medical, Inc. $11,521 11 payments
  4. Exactech, Inc. $2,321 4 payments
  5. Janssen Biotech, Inc. $122 1 payment
  6. Galderma Laboratories, L.P. $88 1 payment
  7. Amgen Inc. $40 1 payment
  8. Arthrex, Inc. $30 2 payments
  9. Endo USA, Inc. $21 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Royalty or License $812,881 17 payments
  2. Consulting Fee $64,185 53 payments
  3. Education $16,702 8 payments
  4. Travel and Lodging $12,675 43 payments
  5. Food and Beverage $2,043 38 payments
Products named General payments · program years 2019–2025
  1. Identity $787,122 19 payments
  2. Anatomical Shoulder Bigliani/Flatow $30,692 1 payment
  3. Alliance $11,750 4 payments
  4. Elbow Fracture Fixation System $9,898 7 payments
  5. Comprehensive Shoulder System $9,626 28 payments
  6. PD-Extremities-New Product $2,338 4 payments
  7. ALTEON $2,195 3 payments
  8. CREO $751 1 payment
  9. Proximal Humerus Plate $750 1 payment
  10. Extremities Product Portfolio $250 1 payment
  11. Other $803 15 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Research payments came from Research payments · program years 2019–2025
  1. Novartis Pharmaceuticals Corporation $1,357 2 payments

Billing to Medicare

Part B · data year 2024 · 17 billing codes

Paid by Medicare

$34,443

Medicare's payments for the services billed

Medicare patients

102

Average age 73

Services billed

142

61 women, 41 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Ischemic heart disease 33%
Diabetes 28%
Depression 21%
Osteoporosis 21%
Chronic kidney disease 20%
Heart failure 16%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

1 product · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
Otezla
  • Amgen Inc. $40
$40 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

161 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery in Pennsylvania

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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