Alexander Garber, PhD
Sports Medicine · Honolulu, HINPI 1548465057
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.1%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Encore Medical, LP accounts for 82.5% of it on its own, with 12 other manufacturers making up the rest. Among sports medicine clinicians in HI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $711.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Encore Medical, LP$36K
- Shoulder Innovations, Inc.$5K
- Arthrex$960
- Stryker$226
- Impactortho, Inc.$200
- Ortho Development Corporation$133
- plus $567 from 7 others
What the payments were for
- Consulting fees$22,18351%
- Speaking & faculty fees$9,00021%
- Travel & lodging$10,20624%
- Food & beverage$2,0145%
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 |
|---|---|---|
| Encore Medical, LP | 24 | $35,828 |
| Shoulder Innovations, Inc. | 5 | $5,489 |
| Arthrex | 13 | $960 |
| Stryker(2 entities) | 3 | $226 |
| Impactortho, Inc. | 3 | $200 |
| Ortho Development Corporation | 1 | $133 |
| Amgen | 2 | $129 |
| Integra Lifesciences Corporation | 4 | $109 |
| Sportstek Medical, Inc | 1 | $109 |
| Elevate Surgical Co | 2 | $73 |
| Smith+Nephew | 1 | $71 |
| Zimmer Biomet | 1 | $57 |
| Johnson & Johnson | 1 | $18 |
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.
- DJO SURGICAL$44,065
- InSet System$5,431
- REUNION$166
- BKS Revision$133
- Pivot Bipolar$133
- Alpine$133
- BKS TriMax$133
- EVENITY$117
How this compares
$43,403 in reported general payments places this provider in the 90th percentile of 31 sports medicine providers in Hawaii.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $187 |
| Tramadol Hcl | 26 | $97 |
| Meloxicam | 31 | $63 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Honolulu
- Jeffery HarpstriteHonolulu$153K
- Daniel LimHonolulu$28K
- Megan KubaHonolulu$9K
- Jae YouHonolulu$8K
- Jay MarumotoHonolulu$3K
- Blane ChongHonolulu$2K
- Darryl KanHonolulu$2K
- Brandon TeruyaHonolulu$2K
- Garret NoguchiHonolulu$1K
- Elizabeth IgnacioHonolulu$574
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.