Covered recipient · General Payments record
MICHELLE L PALMIERO
Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine
General Payments · PY2023–2025
$33,692.47
- Reported across 80 records
- CMS publication 2026-06-30
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Travel and Lodging | $1,772.57 | 3 |
| Food and Beverage | $897.43 | 16 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| SIOUX SURGICAL INC | $1,470.88 | 10 |
| Arthrex, Inc. | $1,029.90 | 7 |
| Smith+Nephew, Inc. | $169.22 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (19)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Arthrex, Inc. | $438.45 | 03/26/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1246619980 | CMS |
| Arthrex, Inc. | $30.00 | 03/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246554327 | CMS |
| Arthrex, Inc. | $45.00 | 03/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246557036 | CMS |
| Arthrex, Inc. | $34.00 | 03/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246557076 | CMS |
| Arthrex, Inc. | $438.45 | 03/27/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1246619978 | CMS |
| Arthrex, Inc. | $34.00 | 03/28/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246554325 | CMS |
| Arthrex, Inc. | $10.00 | 03/28/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246556928 | CMS |
| SIOUX SURGICAL INC | $895.67 | 03/15/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1244789201 | CMS |
| SIOUX SURGICAL INC | $118.93 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789185 | CMS |
| SIOUX SURGICAL INC | $26.67 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789193 | CMS |
| SIOUX SURGICAL INC | $125.00 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789205 | CMS |
| SIOUX SURGICAL INC | $20.60 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789215 | CMS |
| SIOUX SURGICAL INC | $20.08 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789557 | CMS |
| SIOUX SURGICAL INC | $31.50 | 04/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789571 | CMS |
| SIOUX SURGICAL INC | $62.32 | 07/14/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789197 | CMS |
| SIOUX SURGICAL INC | $144.23 | 07/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789187 | CMS |
| SIOUX SURGICAL INC | $25.88 | 08/13/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1244789189 | CMS |
| Smith+Nephew, Inc. | $136.02 | 05/06/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242294208 | CMS |
| Smith+Nephew, Inc. | $33.20 | 07/10/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242294210 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-06-30
- Program years on this page
- 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.