Benjamin Welling, MD
Hand Surgery · Spokane, WANPI 1649658220
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Exactech, Inc. at 38.9% of the total. Reporting peaked in 2019 at $2,392 and has fallen 91.8% since, to $196 in 2025.
Across 40 payments — averaging $186.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$3K
- Pylant Medical$2K
- Trimed, Inc.$614
- Integra Lifesciences Corporation$449
- Axogen$399
- Stryker$359
- plus $973 from 11 others
What the payments were for
- Travel & lodging$1,81924%
- Food & beverage$3,04641%
- Education$2,58635%
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 |
|---|---|---|
| Exactech, Inc. | 6 | $2,901 |
| Pylant Medical | 3 | $1,756 |
| Trimed, Inc. | 5 | $614 |
| Integra Lifesciences Corporation | 4 | $449 |
| Axogen | 4 | $399 |
| Stryker | 3 | $359 |
| Medical Device Business Services, Inc. | 2 | $345 |
| Aptis Medical, LLC | 1 | $131 |
| Si-bone, Inc. | 1 | $127 |
| Johnson & Johnson | 2 | $124 |
| Gemini Medical LLC | 1 | $66 |
| Sawtooth Surgical Solutions Inc | 3 | $60 |
| Smith+Nephew | 1 | $38 |
| Skeletal Dynamics Inc | 1 | $31 |
| Solventum Corporation | 1 | $24 |
| Osteomed LLC | 1 | $15 |
| Endo Pharmaceuticals Inc. | 1 | $12 |
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.
- EQUINOXE$2,752
- INTEGRA WOUND MATRIX (IWM)$262
- AVANCE NERVE GRAFT$254
- GAMMA$164
- INTEGRA MESHED BILAYER WOUND MATRIX$149
- PRIMATRIX$149
- INTEGRA DERMAL REGENERATION TEMPLATE$149
- INTEGRA FLOWABLE WOUND MATRIX$149
- Aptis DRUJ$131
- VARIAX$128
- iFuse Implant$127
- TENOGLIDE TENDON PROTECTOR SHEET$119
- NEURAGEN NERVE GUIDE$119
- BILAYER WOUND MATRIX (BWM)$113
- AMNIOEXCEL$113
- IDRT$113
- FLOWABLE$113
How this compares
$7,450 in reported general payments places this provider in the 80th percentile of 75 hand surgery providers in Washington.
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 |
|---|---|---|
| Celecoxib | 28 | $756 |
| Oxycodone Hcl | 81 | $181 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $97 |
| Tramadol Hcl | 23 | $46 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Spokane
- Paul HornSpokane$2K
- David HuletSpokane$2K
- Bryce BarkerSpokane$1K
- Thomas TrumbleBellevue$824K
- Jerry HuangSeattle$428K
- Mary ThayerBellevue$51K
- Chelsea BoeSeattle$32K
- Anthony LauderLongview$19K
- Julie RobertsFederal Way$19K
- Gregory ByrdOlympia$17K
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.