Aaron Freilich, MD
Hand Surgery · Charlottesville, VANPI 1558575159
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Trimed, Inc. at 47.4% of the total. 2024 is the largest year on record at $3,841, more than ten times the $129 reported in 2019.
Across 20 payments — averaging $403.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$4K
- Pharmaceutical Business Consultants Limited$2K
- Rivanna Medical, Inc$2K
- Checkpoint Surgical, Inc$151
- Integra Lifesciences Corporation$129
- Endo Pharmaceuticals Inc.$45
- plus $70 from 2 others
Across 4 payments — averaging $5760.10 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Integra Lifesciences Corporation$23K
What the payments were for
- Consulting fees$4,00050%
- Speaking & faculty fees$2,25028%
- Travel & lodging$6518%
- Food & beverage$1,13714%
- Education$330%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Trimed, Inc. | 10 | $3,829 |
| Pharmaceutical Business Consultants Limited | 2 | $2,250 |
| Rivanna Medical, Inc | 3 | $1,598 |
| Checkpoint Surgical, Inc | 1 | $151 |
| Integra Lifesciences Corporation | 1 | $129 |
| Endo Pharmaceuticals Inc. | 1 | $45 |
| Stryker | 1 | $40 |
| Sonex Health, Inc. | 1 | $29 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Tools - AFS$3,581
- Accuro$1,500
- Checkpoint Stimulators$151
- NEURAGEN$129
- TENOGLIDE$129
- Tools - WFS$107
- Tools - FPS$107
How this compares
$8,072 in reported general payments places this provider in the 75th percentile of 81 hand surgery providers in Virginia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other hand surgery in Charlottesville
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Ayah MohamedCharlottesville$6K
- Abhinav ChhabraCharlottesville$5K
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
- Jeffrey LovalloArlington$16K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.