Asher Smith, MD
Hand Surgery · Toledo, OHNPI 1265604599
Payments from drug & device makers
What this record shows
Sonex Health, Inc. accounts for 72.5% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $1,433, more than ten times the $25 reported in 2019. That places this record below the midpoint for hand surgery clinicians in OH, where the typical reported total is $2,190.
Across 29 payments — averaging $65.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$1K
- Nexus Medical Technologies LLC$82
- Pacira Therapeutics, Inc.$67
- Rock Medical Orthopedics, Inc.$58
- Bioventus LLC$46
- Axogen$44
- plus $225 from 10 others
What the payments were for
- Travel & lodging$89847%
- Food & beverage$99853%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sonex Health, Inc. | 5 | $1,374 |
| Nexus Medical Technologies LLC | 3 | $82 |
| Pacira Therapeutics, Inc. | 4 | $67 |
| Rock Medical Orthopedics, Inc. | 1 | $58 |
| Bioventus LLC | 2 | $46 |
| Axogen | 2 | $44 |
| Innovation Technologies Inc | 1 | $31 |
| Pacira Pharmaceuticals Incorporated | 2 | $30 |
| Si-bone, Inc. | 1 | $29 |
| Endo Pharmaceuticals Inc. | 2 | $29 |
| Johnson & Johnson | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $23 |
| Zimmer Biomet | 1 | $21 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Convatec Inc. | 1 | $13 |
| Checkpoint Surgical, Inc | 1 | $8 |
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$1,374
How this compares
$1,896 in reported general payments places this provider in the 45th percentile of 88 hand surgery providers in Ohio.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 58 | $258 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $69 |
| Cephalexin | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Toledo
- Abdul Azim MustaphaToledo$16K
- John HoughtalingToledo$7K
- Ryan HamiltonToledo$3K
- Martin SkieToledo$3K
- Mollie ManleyAkron$540K
- Harry HoyenCleveland$330K
- Joseph StyronCleveland$197K
- H Brent BambergerDayton$100K
- Youssra MarjouaCleveland$93K
- Raymond WurapaGahanna$74K
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.