Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ALEXANDER OREM

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1811130073
CMS profile
1571490
Location
LEBANON, NH

General Payments · PY2018–2024

$138,756.47

  • Reported across 115 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$69,641.92

45 records · 0 disputed

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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $63,550.00 8
Travel and Lodging $4,843.01 25
Food and Beverage $1,248.91 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
MEDACTA USA, INC. $69,463.10 43
Think Surgical, Inc. $111.13 1
Medical Device Business Services, Inc. $67.69 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $123.68 1
PY2019 $14,620.80 14
PY2020 $117.89 3
PY2021 $356.58 7
PY2022 $16,994.93 20
PY2023 $36,900.67 25
PY2024 $69,641.92 45

Payment records · PY2024 (45)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
MEDACTA USA, INC. $94.17 01/17/2024 Food and Beverage Undisputed 01/23/2026 1143688898 CMS
MEDACTA USA, INC. $12,900.00 02/01/2024 Consulting Fee Undisputed 01/23/2026 1143686528 CMS
MEDACTA USA, INC. $8,600.00 02/01/2024 Consulting Fee Undisputed 01/23/2026 1143686534 CMS
MEDACTA USA, INC. $1,400.00 02/01/2024 Consulting Fee Undisputed 01/23/2026 1143687202 CMS
MEDACTA USA, INC. $350.00 04/18/2024 Consulting Fee Undisputed 01/23/2026 1143687200 CMS
MEDACTA USA, INC. $168.10 04/18/2024 Travel and Lodging Undisputed 01/23/2026 1143695681 CMS
MEDACTA USA, INC. $179.00 04/18/2024 Travel and Lodging Undisputed 01/23/2026 1143695687 CMS
MEDACTA USA, INC. $478.10 04/18/2024 Travel and Lodging Undisputed 01/23/2026 1143695699 CMS
MEDACTA USA, INC. $95.04 04/22/2024 Travel and Lodging Undisputed 01/23/2026 1143695683 CMS
MEDACTA USA, INC. $534.20 04/22/2024 Travel and Lodging Undisputed 01/23/2026 1143695701 CMS
MEDACTA USA, INC. $150.00 05/03/2024 Food and Beverage Undisputed 01/23/2026 1143687730 CMS
MEDACTA USA, INC. $131.00 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1143694719 CMS
MEDACTA USA, INC. $458.05 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1143695003 CMS
MEDACTA USA, INC. $110.00 05/04/2024 Food and Beverage Undisputed 01/23/2026 1143687552 CMS
MEDACTA USA, INC. $29.85 05/04/2024 Travel and Lodging Undisputed 01/23/2026 1143694475 CMS
MEDACTA USA, INC. $143.00 05/04/2024 Travel and Lodging Undisputed 01/23/2026 1143694731 CMS
MEDACTA USA, INC. $80.00 06/07/2024 Food and Beverage Undisputed 01/23/2026 1143689494 CMS
MEDACTA USA, INC. $142.42 06/07/2024 Food and Beverage Undisputed 01/23/2026 1143689900 CMS
MEDACTA USA, INC. $160.00 06/07/2024 Travel and Lodging Undisputed 01/23/2026 1143696057 CMS
MEDACTA USA, INC. $98.00 06/08/2024 Food and Beverage Undisputed 01/23/2026 1143689602 CMS
MEDACTA USA, INC. $7.70 06/08/2024 Travel and Lodging Undisputed 01/23/2026 1143695849 CMS
MEDACTA USA, INC. $209.76 06/08/2024 Travel and Lodging Undisputed 01/23/2026 1143696203 CMS
MEDACTA USA, INC. $14,400.00 08/08/2024 Consulting Fee Undisputed 01/23/2026 1143686526 CMS
MEDACTA USA, INC. $14,300.00 08/22/2024 Consulting Fee Undisputed 01/23/2026 1143686520 CMS
MEDACTA USA, INC. $700.00 08/22/2024 Consulting Fee Undisputed 01/23/2026 1143687198 CMS
MEDACTA USA, INC. $35.00 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1143694398 CMS
MEDACTA USA, INC. $35.00 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1143694400 CMS
MEDACTA USA, INC. $449.97 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1143694412 CMS
MEDACTA USA, INC. $150.00 09/27/2024 Food and Beverage Undisputed 01/23/2026 1143687758 CMS
MEDACTA USA, INC. $188.10 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1143694835 CMS
MEDACTA USA, INC. $196.00 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1143694867 CMS
MEDACTA USA, INC. $110.00 09/28/2024 Food and Beverage Undisputed 01/23/2026 1143687586 CMS
MEDACTA USA, INC. $105.00 09/28/2024 Travel and Lodging Undisputed 01/23/2026 1143694693 CMS
MEDACTA USA, INC. $79.99 10/31/2024 Travel and Lodging Undisputed 01/23/2026 1143694384 CMS
MEDACTA USA, INC. $79.99 10/31/2024 Travel and Lodging Undisputed 01/23/2026 1143694388 CMS
MEDACTA USA, INC. $401.96 10/31/2024 Travel and Lodging Undisputed 01/23/2026 1143694408 CMS
MEDACTA USA, INC. $10,900.00 11/07/2024 Consulting Fee Undisputed 01/23/2026 1143686518 CMS
MEDACTA USA, INC. $188.10 11/09/2024 Travel and Lodging Undisputed 01/23/2026 1143694396 CMS
MEDACTA USA, INC. $87.50 11/15/2024 Food and Beverage Undisputed 01/23/2026 1143692792 CMS
MEDACTA USA, INC. $166.00 11/15/2024 Travel and Lodging Undisputed 01/23/2026 1143696071 CMS
MEDACTA USA, INC. $188.10 11/15/2024 Travel and Lodging Undisputed 01/23/2026 1143696105 CMS
MEDACTA USA, INC. $48.00 11/16/2024 Food and Beverage Undisputed 01/23/2026 1143689276 CMS
MEDACTA USA, INC. $136.00 11/16/2024 Travel and Lodging Undisputed 01/23/2026 1143696037 CMS
Medical Device Business Services, Inc. $67.69 03/27/2024 Food and Beverage Undisputed 01/23/2026 1077801928 CMS
Think Surgical, Inc. $111.13 09/25/2024 Food and Beverage Undisputed 01/23/2026 1138639135 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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