Who Paid My Doc
Richard Rames
Orthopaedic Surgery Chesterfield, MO Medical Doctor
NPI 1821081019 CMS profile 1098412
224 S Woods Mill Rd, Chesterfield, MO 63017
General payments
$1,673
Research payments
$2,050
Ownership & investment interest
$1,129,500
Research they led as principal investigator
$86,510
Through program year 2025, Richard Rames of Chesterfield, MO is reported in the CMS Open Payments database as having received $1,673 across 18 general payments and $2,050 in research payments paid to them. Separately, studies naming them as principal investigator received $86,510 in research payments, paid to institutions rather than to them. They also declared ownership or investment interests valued at $1,129,500 across 7 holdings.
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 50th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
14 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $16 | 1 | |
| 2023 | General | $17 | 1 | |
| 2022 | General | $164 | 3 | |
| 2021 | General | $1,329 | 10 | |
| 2021 | Research | $2,050 | 1 | |
| 2020 | General | $65 | 1 | |
| 2019 | General | $82 | 2 | |
| 2025 | Ownership | $213,000 | 1 | |
| 2024 | Ownership | $213,000 | 1 | |
| 2023 | Ownership | $183,000 | 1 | |
| 2022 | Ownership | $183,000 | 1 | |
| 2021 | Ownership | $142,500 | 1 | |
| 2020 | Ownership | $97,500 | 1 | |
| 2019 | Ownership | $97,500 | 1 |
Beside peers
- Richard Rames
- Orthopaedic Surgery median
- Middle half of Orthopaedic Surgery
- National median
In program year 2025, general payments to Richard Rames were reported at $16. 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 | Richard Rames | Orthopaedic Surgery median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $82 | $644 | $140–$2,844 | $163 |
| 2020 | $65 | $312 | $75–$1,860 | $114 |
| 2021 | $1,329 | $520 | $117–$2,495 | $132 |
| 2022 | $164 | $598 | $128–$2,731 | $149 |
| 2023 | $17 | $461 | $128–$2,264 | $160 |
| 2024 | $0 | $497 | $134–$2,475 | $164 |
| 2025 | $16 | $563 | $147–$2,717 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 12 drugsPart D claims
844
Drug cost
$5,007
Branded share of claims
25.2%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 175 | $1,589 | |
| Celecoxib | Generic | 26 | $863 | |
| Cephalexin | Generic | 233 | $705 | |
| Oxycodone Hcl | Generic | 161 | $687 | |
| Tramadol Hcl | Generic | 70 | $271 | |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | Brand | 38 | $263 | |
| Cefadroxil | Generic | 14 | $143 | |
| Ondansetron Hcl | Generic | 33 | $118 | |
| Methylprednisolone | Generic | 12 | $97 | |
| Hydroxyzine Pamoate | Generic | 29 | $96 |
The 10 drugs with the highest cost, of 12 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 77 billing codesPaid by Medicare
$226,794
Medicare patients
582
Services billed
15,160
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 75% | |
| Ischemic heart disease | 28% | |
| Atrial fibrillation | 22% | |
| Depression | 22% | |
| Diabetes | 20% | |
| Chronic kidney disease | 18% | |
| Cancer | 16% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325 | Office | 14 | 1,248 | $8,676 |
| Injection, methylprednisolone acetate, 1 mg J1010 | Office | 182 | 11,860 | $1,154 |
| Injection, methylprednisolone acetate, 40 mg J1030 | Office | 53 | 57 | $197 |
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.
Records
19 reportedEvery 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.
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Related records
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All Orthopaedic Surgery
Everyone recorded under this specialty, nationwide.
Doctors in Missouri
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.