RxDoctor Payments Data

Andre Ishak, MD

Surgery of the Hand · Oxnard, CANPI 1639135445

Payments from drug & device makers

What this record shows

This record is dominated by travel and lodging: $9,903 of the $10,788 with a category attached, or 91.8%. Medartis Inc. accounts for 92.9% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $9,942 and has fallen 98.0% since, to $196 in 2025. Among surgery of the hand clinicians in CA 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.

$10,788in general payments, 2019–2025

Across 28 payments — averaging $385.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medartis Inc.$10K
  • Endo Pharmaceuticals Inc.$250
  • Skeletal Dynamics Inc$151
  • Endo USA, Inc.$118
  • Johnson & Johnson$79
  • Stryker$62
  • plus $105 from 4 others

What the payments were for

  • Travel & lodging$9,90392%
  • Food & beverage$8858%

General payments by program year

19
20
22
23
24
25

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.

CompanyPaymentsTotal
Medartis Inc.3$10,022
Endo Pharmaceuticals Inc.15$250
Skeletal Dynamics Inc1$151
Endo USA, Inc.2$118
Johnson & Johnson1$79
Stryker1$62
Vertex1$35
Bioventus LLC1$32
Amgen1$27
Team_makena_llc2$11

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

$10,788 in reported general payments places this provider in the 90th percentile of 76 surgery of the hand providers in California.

See all surgery of the hand providers in California

Medicare billing

Part B allowed, 2024
$470,600
Medicare patients
521
Services billed
5,658

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

DrugClaimsCost to plans & patients
Acetaminophen-CodeineAcetaminophen With Codeine125$913
Meloxicam128$262
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen30$260
Methylprednisolone21$152

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Oxnard

See the full list for California

Where these figures come from

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