Avery Arora, MD
Surgery of the Hand · West Bloomfield, MINPI 1932313558
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.2%), education and travel and lodging — rather than concentrated in one kind of arrangement. Endo Pharmaceuticals Inc. accounts for 66.4% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $4,841 and has fallen 99.4% since, to $31 in 2023.
Across 28 payments — averaging $262.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$5K
- Pinnacle, Inc$2K
- Stryker$467
- Boston Scientific$43
- Bioventus LLC$29
- Amgen$14
- plus $13 from 1 others
What the payments were for
- Consulting fees$3,40046%
- Travel & lodging$1,23617%
- Food & beverage$3555%
- Education$1,90026%
- Gifts$4676%
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 |
|---|---|---|
| Endo Pharmaceuticals Inc. | 16 | $4,883 |
| Pinnacle, Inc | 4 | $1,909 |
| Stryker | 1 | $467 |
| Boston Scientific | 3 | $43 |
| Bioventus LLC | 2 | $29 |
| Amgen | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $13 |
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
$7,358 in reported general payments places this provider in the 75th percentile of 41 surgery of the hand providers in Michigan.
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 |
|---|---|---|
| Methylprednisolone | 32 | $162 |
| Tramadol Hcl | 16 | $14 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in West Bloomfield
- Leslie WongGrand Rapids$185K
- Alberto AvilesWarren$22K
- Ara BushShelby Township$18K
- Emily AbbottWarren$14K
- Michael FitzsimmonsYpsilanti$13K
- Andrew TsaiDetroit$11K
- Caroline WurtzelChelsea$10K
- Edmund GradyWarren$9K
- Marek HansdorferTraverse City$8K
- Edward HaassDearborn$8K
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.