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

STEPHEN M HOWELL

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1972697704
CMS profile
134698
Location
SACRAMENTO, CA

General Payments · PY2018–2024

$7,493,435.80

  • Reported across 707 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,830,706.07

144 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
Royalty or License $1,259,244.12 23
Consulting Fee $524,800.00 6
Travel and Lodging $42,101.02 63
Food and Beverage $4,560.93 52

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
MEDACTA USA, INC. $1,830,706.07 144

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $778,386.23 102
PY2019 $997,773.29 125
PY2020 $757,998.50 76
PY2021 $911,541.47 84
PY2022 $979,228.40 66
PY2023 $1,237,801.84 110
PY2024 $1,830,706.07 144

Payment records · PY2024 (144)

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. $1,677.71 01/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695535 CMS
MEDACTA USA, INC. $170,150.00 01/25/2024 Consulting Fee Undisputed 01/23/2026 1143686450 CMS
MEDACTA USA, INC. $7,121.80 01/29/2024 Travel and Lodging Undisputed 01/23/2026 1143695865 CMS
MEDACTA USA, INC. $153.00 02/01/2024 Travel and Lodging Undisputed 01/23/2026 1143694781 CMS
MEDACTA USA, INC. $168.00 02/01/2024 Travel and Lodging Undisputed 01/23/2026 1143694819 CMS
MEDACTA USA, INC. $242.00 02/01/2024 Travel and Lodging Undisputed 01/23/2026 1143694891 CMS
MEDACTA USA, INC. $129.55 02/02/2024 Food and Beverage Undisputed 01/23/2026 1143687628 CMS
MEDACTA USA, INC. $115.00 02/02/2024 Food and Beverage Undisputed 01/23/2026 1143689752 CMS
MEDACTA USA, INC. $248.49 02/02/2024 Travel and Lodging Undisputed 01/23/2026 1143694881 CMS
MEDACTA USA, INC. $25.00 02/02/2024 Travel and Lodging Undisputed 01/23/2026 1143695337 CMS
MEDACTA USA, INC. $107.00 02/03/2024 Food and Beverage Undisputed 01/23/2026 1143687448 CMS
MEDACTA USA, INC. $56.00 02/15/2024 Food and Beverage Undisputed 01/23/2026 1143688508 CMS
MEDACTA USA, INC. $110.53 03/05/2024 Food and Beverage Undisputed 01/23/2026 1143688750 CMS
MEDACTA USA, INC. $2,111.20 03/05/2024 Travel and Lodging Undisputed 01/23/2026 1143695523 CMS
MEDACTA USA, INC. $11,376.08 03/07/2024 Royalty or License Undisputed 01/23/2026 1143698739 CMS
MEDACTA USA, INC. $150,156.00 03/07/2024 Royalty or License Undisputed 01/23/2026 1143698743 CMS
MEDACTA USA, INC. $43,493.45 03/07/2024 Royalty or License Undisputed 01/23/2026 1143698745 CMS
MEDACTA USA, INC. $2,115.00 03/07/2024 Royalty or License Undisputed 01/23/2026 1143698761 CMS
MEDACTA USA, INC. $51,165.00 03/07/2024 Royalty or License Undisputed 01/23/2026 1143698763 CMS
MEDACTA USA, INC. $119.69 03/18/2024 Food and Beverage Undisputed 01/23/2026 1143689030 CMS
MEDACTA USA, INC. $262.30 03/21/2024 Travel and Lodging Undisputed 01/23/2026 1143695859 CMS
MEDACTA USA, INC. $20.00 03/21/2024 Travel and Lodging Undisputed 01/23/2026 1143695863 CMS
MEDACTA USA, INC. $88.00 03/22/2024 Food and Beverage Undisputed 01/23/2026 1143689488 CMS
MEDACTA USA, INC. $99.50 03/22/2024 Food and Beverage Undisputed 01/23/2026 1143689628 CMS
MEDACTA USA, INC. $355.91 03/22/2024 Travel and Lodging Undisputed 01/23/2026 1143695531 CMS
MEDACTA USA, INC. $192.00 03/22/2024 Travel and Lodging Undisputed 01/23/2026 1143696113 CMS
MEDACTA USA, INC. $453.00 03/22/2024 Travel and Lodging Undisputed 01/23/2026 1143696281 CMS
MEDACTA USA, INC. $125.00 03/23/2024 Food and Beverage Undisputed 01/23/2026 1143689790 CMS
MEDACTA USA, INC. $16.85 03/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695309 CMS
MEDACTA USA, INC. $78.83 03/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695943 CMS
MEDACTA USA, INC. $58.50 04/11/2024 Food and Beverage Undisputed 01/23/2026 1143689902 CMS
MEDACTA USA, INC. $866.92 04/11/2024 Travel and Lodging Undisputed 01/23/2026 1143696083 CMS
MEDACTA USA, INC. $146.26 04/11/2024 Travel and Lodging Undisputed 01/23/2026 1143696091 CMS
MEDACTA USA, INC. $26.59 04/11/2024 Travel and Lodging Undisputed 01/23/2026 1143696095 CMS
MEDACTA USA, INC. $24.57 04/12/2024 Food and Beverage Undisputed 01/23/2026 1143689904 CMS
MEDACTA USA, INC. $106.37 04/12/2024 Travel and Lodging Undisputed 01/23/2026 1143696081 CMS
MEDACTA USA, INC. $292.52 04/12/2024 Travel and Lodging Undisputed 01/23/2026 1143696093 CMS
MEDACTA USA, INC. $165.38 04/15/2024 Food and Beverage Undisputed 01/23/2026 1143689452 CMS
MEDACTA USA, INC. $804.00 04/15/2024 Travel and Lodging Undisputed 01/23/2026 1143695515 CMS
MEDACTA USA, INC. $1,475.95 04/15/2024 Travel and Lodging Undisputed 01/23/2026 1143695895 CMS
MEDACTA USA, INC. $117.01 04/15/2024 Travel and Lodging Undisputed 01/23/2026 1143696087 CMS
MEDACTA USA, INC. $81.90 04/15/2024 Travel and Lodging Undisputed 01/23/2026 1143696089 CMS
MEDACTA USA, INC. $13.12 04/16/2024 Food and Beverage Undisputed 01/23/2026 1143689454 CMS
MEDACTA USA, INC. $48.63 04/16/2024 Food and Beverage Undisputed 01/23/2026 1143689456 CMS
MEDACTA USA, INC. $56.94 04/16/2024 Food and Beverage Undisputed 01/23/2026 1143689458 CMS
MEDACTA USA, INC. $136.91 04/16/2024 Food and Beverage Undisputed 01/23/2026 1143689460 CMS
MEDACTA USA, INC. $13.12 04/16/2024 Food and Beverage Undisputed 01/23/2026 1143689462 CMS
MEDACTA USA, INC. $13.25 04/16/2024 Travel and Lodging Undisputed 01/23/2026 1143695891 CMS
MEDACTA USA, INC. $10.84 04/16/2024 Travel and Lodging Undisputed 01/23/2026 1143695893 CMS
MEDACTA USA, INC. $117.01 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1143696085 CMS
MEDACTA USA, INC. $104,750.00 04/18/2024 Consulting Fee Undisputed 01/23/2026 1143686446 CMS
MEDACTA USA, INC. $76.00 04/18/2024 Travel and Lodging Undisputed 01/23/2026 1143696173 CMS
MEDACTA USA, INC. $20.00 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695519 CMS
MEDACTA USA, INC. $20.00 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695521 CMS
MEDACTA USA, INC. $567.96 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695525 CMS
MEDACTA USA, INC. $150.00 05/03/2024 Food and Beverage Undisputed 01/23/2026 1143687744 CMS
MEDACTA USA, INC. $65.50 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1143694607 CMS
MEDACTA USA, INC. $310.66 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1143694969 CMS
MEDACTA USA, INC. $110.00 05/04/2024 Food and Beverage Undisputed 01/23/2026 1143687548 CMS
MEDACTA USA, INC. $106.00 05/04/2024 Travel and Lodging Undisputed 01/23/2026 1143694695 CMS
MEDACTA USA, INC. $138.16 05/14/2024 Food and Beverage Undisputed 01/23/2026 1143688274 CMS
MEDACTA USA, INC. $29,750.00 06/04/2024 Consulting Fee Undisputed 01/23/2026 1143686440 CMS
MEDACTA USA, INC. $155,625.00 06/05/2024 Royalty or License Undisputed 01/23/2026 1143698747 CMS
MEDACTA USA, INC. $3,405.00 06/05/2024 Royalty or License Undisputed 01/23/2026 1143698749 CMS
MEDACTA USA, INC. $40,452.49 06/05/2024 Royalty or License Undisputed 01/23/2026 1143698753 CMS
MEDACTA USA, INC. $10,704.73 06/05/2024 Royalty or License Undisputed 01/23/2026 1143698757 CMS
MEDACTA USA, INC. $42,481.81 06/05/2024 Royalty or License Undisputed 01/23/2026 1143698759 CMS
MEDACTA USA, INC. $54,225.00 06/05/2024 Royalty or License Undisputed 01/23/2026 1143699411 CMS
MEDACTA USA, INC. $143.20 06/06/2024 Food and Beverage Undisputed 01/23/2026 1143689154 CMS
MEDACTA USA, INC. $80.00 06/07/2024 Food and Beverage Undisputed 01/23/2026 1143689468 CMS
MEDACTA USA, INC. $142.42 06/07/2024 Food and Beverage Undisputed 01/23/2026 1143689860 CMS
MEDACTA USA, INC. $30.00 06/07/2024 Food and Beverage Undisputed 01/23/2026 1143691502 CMS
MEDACTA USA, INC. $160.00 06/07/2024 Travel and Lodging Undisputed 01/23/2026 1143696059 CMS
MEDACTA USA, INC. $98.00 06/08/2024 Food and Beverage Undisputed 01/23/2026 1143689596 CMS
MEDACTA USA, INC. $98.00 06/08/2024 Food and Beverage Undisputed 01/23/2026 1143689598 CMS
MEDACTA USA, INC. $127.00 06/08/2024 Travel and Lodging Undisputed 01/23/2026 1143696033 CMS
MEDACTA USA, INC. $419.52 06/08/2024 Travel and Lodging Undisputed 01/23/2026 1143696279 CMS
MEDACTA USA, INC. $13.29 07/08/2024 Food and Beverage Undisputed 01/23/2026 1143688276 CMS
MEDACTA USA, INC. $48.35 07/16/2024 Food and Beverage Undisputed 01/23/2026 1143688248 CMS
MEDACTA USA, INC. $8,177.90 07/16/2024 Travel and Lodging Undisputed 01/23/2026 1143695867 CMS
MEDACTA USA, INC. $109.68 07/17/2024 Food and Beverage Undisputed 01/23/2026 1143688246 CMS
MEDACTA USA, INC. $1,607.70 07/22/2024 Travel and Lodging Undisputed 01/23/2026 1143695511 CMS
MEDACTA USA, INC. $53,200.00 08/01/2024 Consulting Fee Undisputed 01/23/2026 1143686444 CMS
MEDACTA USA, INC. $65,300.00 08/08/2024 Consulting Fee Undisputed 01/23/2026 1143686434 CMS
MEDACTA USA, INC. $38.00 08/08/2024 Travel and Lodging Undisputed 01/23/2026 1143696161 CMS
MEDACTA USA, INC. $161,406.00 08/08/2024 Royalty or License Undisputed 01/23/2026 1143698737 CMS
MEDACTA USA, INC. $11,010.93 08/08/2024 Royalty or License Undisputed 01/23/2026 1143698741 CMS
MEDACTA USA, INC. $63,456.25 08/08/2024 Royalty or License Undisputed 01/23/2026 1143698751 CMS
MEDACTA USA, INC. $43,641.71 08/08/2024 Royalty or License Undisputed 01/23/2026 1143698755 CMS
MEDACTA USA, INC. $3,735.00 08/08/2024 Royalty or License Undisputed 01/23/2026 1143698765 CMS
MEDACTA USA, INC. $53,700.00 08/08/2024 Royalty or License Undisputed 01/23/2026 1143699237 CMS
MEDACTA USA, INC. $83.87 08/20/2024 Food and Beverage Undisputed 01/23/2026 1143688722 CMS
MEDACTA USA, INC. $2,002.35 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695541 CMS
MEDACTA USA, INC. $1,149.97 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695543 CMS
MEDACTA USA, INC. $43.54 08/28/2024 Food and Beverage Undisputed 01/23/2026 1143688170 CMS
MEDACTA USA, INC. $123.26 08/28/2024 Food and Beverage Undisputed 01/23/2026 1143689768 CMS
MEDACTA USA, INC. $135.00 08/29/2024 Travel and Lodging Undisputed 01/23/2026 1143695529 CMS
MEDACTA USA, INC. $135.00 09/02/2024 Travel and Lodging Undisputed 01/23/2026 1143695533 CMS
MEDACTA USA, INC. $51.33 09/26/2024 Food and Beverage Undisputed 01/23/2026 1143688312 CMS
MEDACTA USA, INC. $150.00 09/27/2024 Food and Beverage Undisputed 01/23/2026 1143687736 CMS
MEDACTA USA, INC. $160.00 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1143694811 CMS
MEDACTA USA, INC. $188.10 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1143694839 CMS
MEDACTA USA, INC. $421.86 09/27/2024 Travel and Lodging Undisputed 01/23/2026 1143695517 CMS
MEDACTA USA, INC. $110.00 09/28/2024 Food and Beverage Undisputed 01/23/2026 1143687584 CMS
MEDACTA USA, INC. $131.00 09/28/2024 Travel and Lodging Undisputed 01/23/2026 1143694733 CMS
MEDACTA USA, INC. $212.00 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1143695537 CMS
MEDACTA USA, INC. $1,130.87 10/04/2024 Travel and Lodging Undisputed 01/23/2026 1143695539 CMS
MEDACTA USA, INC. $1,225.95 10/08/2024 Travel and Lodging Undisputed 01/23/2026 1143695507 CMS
MEDACTA USA, INC. $69.24 10/11/2024 Food and Beverage Undisputed 01/23/2026 1143689906 CMS
MEDACTA USA, INC. $1,203.66 10/11/2024 Travel and Lodging Undisputed 01/23/2026 1143696197 CMS
MEDACTA USA, INC. $367.79 10/11/2024 Travel and Lodging Undisputed 01/23/2026 1143696205 CMS
MEDACTA USA, INC. $81.58 10/12/2024 Food and Beverage Undisputed 01/23/2026 1143689910 CMS
MEDACTA USA, INC. $80.24 10/13/2024 Food and Beverage Undisputed 01/23/2026 1143689908 CMS
MEDACTA USA, INC. $53.50 10/13/2024 Food and Beverage Undisputed 01/23/2026 1143689912 CMS
MEDACTA USA, INC. $29.16 10/14/2024 Food and Beverage Undisputed 01/23/2026 1143689914 CMS
MEDACTA USA, INC. $367.79 10/14/2024 Travel and Lodging Undisputed 01/23/2026 1143696199 CMS
MEDACTA USA, INC. $964.98 10/23/2024 Travel and Lodging Undisputed 01/23/2026 1143695545 CMS
MEDACTA USA, INC. $46.37 10/24/2024 Food and Beverage Undisputed 01/23/2026 1143688698 CMS
MEDACTA USA, INC. $17.88 10/25/2024 Food and Beverage Undisputed 01/23/2026 1143688696 CMS
MEDACTA USA, INC. $78.00 10/25/2024 Food and Beverage Undisputed 01/23/2026 1143689408 CMS
MEDACTA USA, INC. $146.76 10/25/2024 Food and Beverage Undisputed 01/23/2026 1143689956 CMS
MEDACTA USA, INC. $112.00 10/25/2024 Travel and Lodging Undisputed 01/23/2026 1143695989 CMS
MEDACTA USA, INC. $474.44 10/25/2024 Travel and Lodging Undisputed 01/23/2026 1143696355 CMS
MEDACTA USA, INC. $104.00 10/26/2024 Food and Beverage Undisputed 01/23/2026 1143689702 CMS
MEDACTA USA, INC. $18.91 10/26/2024 Travel and Lodging Undisputed 01/23/2026 1143695841 CMS
MEDACTA USA, INC. $120.00 11/07/2024 Food and Beverage Undisputed 01/23/2026 1143689772 CMS
MEDACTA USA, INC. $59.00 11/08/2024 Food and Beverage Undisputed 01/23/2026 1143689326 CMS
MEDACTA USA, INC. $59.00 11/08/2024 Food and Beverage Undisputed 01/23/2026 1143689378 CMS
MEDACTA USA, INC. $120.00 11/08/2024 Food and Beverage Undisputed 01/23/2026 1143689756 CMS
MEDACTA USA, INC. $1,165.73 11/10/2024 Travel and Lodging Undisputed 01/23/2026 1143695509 CMS
MEDACTA USA, INC. $45,988.06 11/12/2024 Royalty or License Undisputed 01/23/2026 1143698767 CMS
MEDACTA USA, INC. $8,374.06 11/12/2024 Royalty or License Undisputed 01/23/2026 1143698769 CMS
MEDACTA USA, INC. $85,993.55 11/12/2024 Royalty or License Undisputed 01/23/2026 1143698777 CMS
MEDACTA USA, INC. $5,265.00 11/12/2024 Royalty or License Undisputed 01/23/2026 1143698781 CMS
MEDACTA USA, INC. $164,134.00 11/12/2024 Royalty or License Undisputed 01/23/2026 1143698783 CMS
MEDACTA USA, INC. $47,340.00 11/12/2024 Royalty or License Undisputed 01/23/2026 1143699413 CMS
MEDACTA USA, INC. $101,650.00 11/21/2024 Consulting Fee Undisputed 01/23/2026 1143686428 CMS
MEDACTA USA, INC. $146.25 12/06/2024 Food and Beverage Undisputed 01/23/2026 1143687674 CMS
MEDACTA USA, INC. $299.32 12/06/2024 Travel and Lodging Undisputed 01/23/2026 1143694945 CMS
MEDACTA USA, INC. $106.00 12/07/2024 Food and Beverage Undisputed 01/23/2026 1143687442 CMS
MEDACTA USA, INC. $147.00 12/07/2024 Travel and Lodging Undisputed 01/23/2026 1143694757 CMS
MEDACTA USA, INC. $53.41 12/08/2024 Food and Beverage Undisputed 01/23/2026 1143688574 CMS
MEDACTA USA, INC. $1,202.35 12/18/2024 Travel and Lodging Undisputed 01/23/2026 1143695513 CMS
MEDACTA USA, INC. $4.00 12/18/2024 Travel and Lodging Undisputed 01/23/2026 1143695527 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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