Adam Rives, MD
Hand Surgery · Santa Barbara, CANPI 1508084690
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $806 of the $993 with a category attached, or 81.2%. 10 manufacturers reported payments, led by Trimed, Inc. at 29.2% of the total. Reporting peaked in 2023 at $342 and has fallen 58.8% since, to $141 in 2025. That places this record below the midpoint for hand surgery clinicians in CA, where the typical reported total is $1,876.
Across 26 payments — averaging $38.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$289
- Axogen$127
- Stryker$119
- Bioventus LLC$109
- Alafair Biosciences, Inc.$108
- Endo Pharmaceuticals Inc.$80
- plus $160 from 4 others
Across 3 payments — averaging $33,333 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$100K
What the payments were for
- Speaking & faculty fees$606%
- Food & beverage$80681%
- Education$12713%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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. | 3 | $289 |
| Axogen | 2 | $127 |
| Stryker | 3 | $119 |
| Bioventus LLC | 4 | $109 |
| Alafair Biosciences, Inc. | 1 | $108 |
| Endo Pharmaceuticals Inc. | 5 | $80 |
| Pacira Pharmaceuticals Incorporated | 1 | $60 |
| Electronic Waveform Lab, Inc. | 4 | $40 |
| Johnson & Johnson | 2 | $39 |
| Endo USA, Inc. | 1 | $21 |
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.
How this compares
$993 in reported general payments places this provider in the 40th percentile of 249 hand surgery providers in California.
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 Santa Barbara
- Steven ShinLos Angeles$2.8M
- Amy LaddStanford$1.4M
- Emilie CheungStanford$1.1M
- Andrew HartmanOceanside$957K
- Nancy LynchSan Mateo$862K
- Jeffrey YaoRedwood City$622K
- Prosper BenhaimLos Angeles$492K
- Wayne PanOakland$423K
- Nathan HoekzemaClovis$400K
- Robin KamalStanford$343K
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.