Amin Afsari, DO
Hand Surgery · Milwaukee, WINPI 1861407512
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (39.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Great Lakes Orthopedics at 49.5% of the total. Reporting peaked in 2022 at $2,089 and has fallen 88.6% since, to $239 in 2025.
Across 40 payments — averaging $145.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Great Lakes Orthopedics$3K
- Ensemble Orthopedics, Inc$2K
- Arthrex$901
- Anika Therapeutics, Inc.$170
- Amgen$130
- Skeletal Dynamics Inc$122
- plus $92 from 2 others
What the payments were for
- Travel & lodging$2,04135%
- Food & beverage$1,49026%
- Education$2,27139%
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 |
|---|---|---|
| Great Lakes Orthopedics | 5 | $2,871 |
| Ensemble Orthopedics, Inc | 5 | $1,515 |
| Arthrex | 24 | $901 |
| Anika Therapeutics, Inc. | 2 | $170 |
| Amgen | 1 | $130 |
| Skeletal Dynamics Inc | 1 | $122 |
| Integra Lifesciences Corporation | 1 | $79 |
| Endo Pharmaceuticals Inc. | 1 | $13 |
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
$5,802 in reported general payments places this provider in the 70th percentile of 43 hand surgery providers in Wisconsin.
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 Milwaukee
- Steven GrindelMilwaukee$21K
- Anthony LogiudiceMilwaukee$9K
- Roger DaleyMilwaukee$1K
- David OlsonMilwaukee$33
- Daniel WiskeMilwaukee$0
- David SiverhusMilwaukee$0
- Josef TofteMadison$16K
- Gonzalo BarinagaWauwatosa$16K
- Joanie ColumbiaGreen Bay$10K
- Frank WalterWisconsin Rapids$9K
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.