Andrew Gutow, MD
Hand Surgery · Palo Alto, CANPI 1780752873
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (54.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 73.2% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2022 at $3,974 and has fallen 95.6% since, to $173 in 2025.
Across 14 payments — averaging $316.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Evolution Surgical, Inc$610
- Skeletal Dynamics Inc$280
- Axogen$173
- Acumed LLC$125
Across 4 payments — averaging $16,368 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$65K
What the payments were for
- Travel & lodging$86720%
- Food & beverage$1,15926%
- Education$2,40054%
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 | 8 | $3,239 |
| Evolution Surgical, Inc | 2 | $610 |
| Skeletal Dynamics Inc | 2 | $280 |
| Axogen | 1 | $173 |
| Acumed LLC | 1 | $125 |
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
$4,427 in reported general payments places this provider in the 65th percentile of 249 hand surgery providers in California.
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 Palo Alto
- Steven ShinLos Angeles$2.8M
- Amy LaddStanford$1.4M
- Emilie CheungStanford$1.1M
- Andrew HartmanOceanside$957K
- Nancy LynchSan Mateo$862K
- Jeffrey YaoRedwood City$622K
- Prosper BenhaimLos Angeles$492K
- Wayne PanOakland$423K
- Nathan HoekzemaClovis$400K
- Robin KamalStanford$343K
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.