Amir Kachooei, MD
Hand Surgery · Orlando, FLNPI 1659902021
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (40.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Arthrex at 51.2% of the total. Reporting peaked in 2021 at $6,202 and has fallen 72.6% since, to $1,700 in 2025.
Across 86 payments — averaging $224.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Sonex Health, Inc.$2K
- Liberty Surgical Inc.$2K
- Acumed LLC$1K
- Axogen$1K
- Trimed, Inc.$945
- plus $2K from 14 others
Across 1 payment — averaging $1500.00 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.
- Arthrex$2K
What the payments were for
- Consulting fees$5083%
- Speaking & faculty fees$1321%
- Travel & lodging$6,92236%
- Food & beverage$3,95320%
- Education$7,83140%
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 |
|---|---|---|
| Arthrex | 37 | $9,897 |
| Sonex Health, Inc. | 5 | $2,012 |
| Liberty Surgical Inc. | 1 | $1,831 |
| Acumed LLC | 9 | $1,280 |
| Axogen | 5 | $1,034 |
| Trimed, Inc. | 2 | $945 |
| BD | 1 | $508 |
| Globus Medical | 6 | $457 |
| Smith+Nephew | 2 | $213 |
| Stryker | 3 | $209 |
| Reel Surgical, Inc. | 3 | $205 |
| Endo Pharmaceuticals Inc. | 3 | $161 |
| Tulavi Therapeutics, Inc. | 1 | $140 |
| Skeletal Dynamics Inc | 1 | $132 |
| Trice Medical, Inc. | 1 | $124 |
| Checkpoint Surgical, Inc | 2 | $120 |
| Johnson & Johnson | 1 | $35 |
| Bioventus LLC | 1 | $23 |
| Joint Active Systems, Inc. | 1 | $15 |
| Heraeus Medical, LLC. | 1 | $6 |
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.
- Sx-One Microknife$1,976
- Hand Fracture System$1,022
- AVANCE NERVE GRAFT$946
- AxoGuard Nerve Connector$946
- AxoGuard Nerve Protector$946
- Tools - WFS$945
- Acu-Loc Wrist Plating System$877
- MODULAR HAND SYSTEM$877
- Osteotomy System$877
- Distal Radius Plate$162
- EVOS$146
- Acu-Loc Wrist Spanning System$144
- Acutrak Headless Compression Screw System$144
- Arc Wrist Tower$144
- Total Wrist Fusion Plating System$144
- ALLAY NERVE CAP - SMALL NERVE SET$140
- Geminus$132
- Align$132
- IJS$132
- Implate$132
How this compares
$19,346 in reported general payments places this provider in the 85th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| Naproxen | 86 | $471 |
| Oxycodone Hcl | 69 | $177 |
| Hydroxyzine Pamoate | 44 | $145 |
| Gabapentin | 31 | $122 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Orlando
- Justin ZumstegOrlando$133K
- Brett LewellynOrlando$41K
- Bryan BrownOrlando$27K
- Cody HillinOrlando$6K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
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.