RxDoctor Payments Data

Angelo Dacus, MD

Hand Surgery · Charlottesville, VANPI 1376509539

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (46.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Integra Lifesciences Corporation at 26.9% of the total. Reporting peaked in 2019 at $22,877 and has fallen 87.2% since, to $2,921 in 2025. Among hand surgery clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$56,597in general payments, 2019–2025

Across 120 payments — averaging $471.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Integra Lifesciences Corporation$15K
  • Pharmaceutical Business Consultants Limited$13K
  • Medartis Inc.$6K
  • Microaire Surgical Instruments LLC$5K
  • Medical Device Business Services, Inc.$4K
  • Fortis Surgical, LLC$4K
  • plus $8K from 14 others

What the payments were for

  • Consulting fees$26,01346%
  • Speaking & faculty fees$7,25013%
  • Travel & lodging$11,72021%
  • Food & beverage$2,9215%
  • Education$7,92714%
  • Other$7671%

General payments by program year

19
20
21
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
Integra Lifesciences Corporation34$15,197
Pharmaceutical Business Consultants Limited15$13,101
Medartis Inc.2$6,300
Microaire Surgical Instruments LLC6$5,267
Medical Device Business Services, Inc.1$4,388
Fortis Surgical, LLC11$4,135
Stryker10$1,888
Arthrex6$1,813
Supreme Orthopedic Systems, LLC1$1,696
Zimmer Biomet11$967
Newclip USA LLC3$765
Axogen2$261
Ossio Inc2$256
Johnson & Johnson8$246
Kerecis Limited3$140
Xiros Inc1$55
Anika Therapeutics, Inc.1$36
Renerve Ltd1$33
Smith+Nephew1$32
Viiv Healthcare Company1$24

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

$56,597 in reported general payments places this provider in the 95th percentile of 81 hand surgery providers in Virginia.

See all hand surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$107,362
Medicare patients
255
Services billed
610

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
Meloxicam11$12

Paid to pharmacies, not to this prescriber.

Other hand surgery in Charlottesville

See the full list for Virginia

Where these figures come from

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