Alexander Croog, MD
Surgery of the Hand · Mc Lean, VANPI 1376571372
Payments from drug & device makers
What this record shows
This record is dominated by education: $2,531 of the $4,078 with a category attached, or 62.1%. Supreme Orthopedic Systems, LLC accounts for 70.1% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2020 at $1,292 and has fallen 95.8% since, to $54 in 2025.
Across 27 payments — averaging $151.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$3K
- Arthrex$542
- Endo Pharmaceuticals Inc.$172
- Exsomed Corporation$104
- Integra Lifesciences Corporation$78
- Checkpoint Surgical, Inc$72
- plus $250 from 7 others
What the payments were for
- Travel & lodging$90222%
- Food & beverage$64416%
- Education$2,53162%
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 |
|---|---|---|
| Supreme Orthopedic Systems, LLC | 5 | $2,860 |
| Arthrex | 7 | $542 |
| Endo Pharmaceuticals Inc. | 5 | $172 |
| Exsomed Corporation | 1 | $104 |
| Integra Lifesciences Corporation | 1 | $78 |
| Checkpoint Surgical, Inc | 1 | $72 |
| Innovation Technologies Inc | 1 | $57 |
| Bioprotect Medical, Inc. | 1 | $54 |
| Johnson & Johnson | 1 | $53 |
| Smith+Nephew | 1 | $35 |
| Stryker | 1 | $28 |
| Vericel Corporation | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $9 |
How this compares
Too few surgery of the hand providers in Virginiato place this figure against a meaningful peer group, so we don't.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diclofenac Sodium | 15 | $182 |
| Methylprednisolone | 24 | $164 |
| Oxycodone Hcl | 39 | $81 |
| Cephalexin | 21 | $58 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Mc Lean
- Wyndell MerrittHenrico$13K
- Wayne ChenVirginia Beach$10K
- Hatcher CoxSalem$6K
- Peter ThomasAlexandria$6K
- Santiago RodriguezNorfolk$5K
- David GalpernRichmond$4K
- Ramon de JesusNorfolk$4K
- Arjun DhayalanChesapeake$444
- Stephen LeibovicRichmond$436
- Raymond MorganCharlottesville$118
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.