Brandon Smetana, MD
Hand Surgery · Indianapolis, INNPI 1902196280
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.0%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Axogen accounts for 87.2% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2023 at $32,023 and has fallen 68.4% since, to $10,125 in 2025. Among hand surgery clinicians in IN 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.
Across 176 payments — averaging $774.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$119K
- Checkpoint Surgical, Inc$8K
- Medartis Inc.$4K
- Trimed, Inc.$2K
- Integra Lifesciences Corporation$704
- Acumed LLC$418
- plus $2K from 19 others
Across 24 payments — averaging $5099.46 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Axogen$122K
What the payments were for
- Consulting fees$57,19842%
- Speaking & faculty fees$54,59340%
- Travel & lodging$8,0356%
- Food & beverage$15,84412%
- Education$6200%
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 |
|---|---|---|
| Axogen | 110 | $118,893 |
| Checkpoint Surgical, Inc | 10 | $7,921 |
| Medartis Inc. | 8 | $4,249 |
| Trimed, Inc. | 5 | $1,644 |
| Integra Lifesciences Corporation | 7 | $704 |
| Acumed LLC | 6 | $418 |
| Stryker(2 entities) | 5 | $402 |
| Zimmer Biomet | 2 | $242 |
| Trice Medical, Inc. | 1 | $220 |
| Johnson & Johnson | 2 | $176 |
| Encore Medical, LP | 2 | $172 |
| Kerecis Limited | 1 | $163 |
| DJO, LLC | 4 | $153 |
| Biocircuit Technologies Inc | 1 | $144 |
| Medacta USA, Inc. | 1 | $136 |
| Smith+Nephew | 1 | $128 |
| Alafair Biosciences, Inc. | 1 | $128 |
| Anika Therapeutics, Inc. | 1 | $127 |
| Acell, Inc. | 1 | $101 |
| Endo Pharmaceuticals Inc. | 2 | $38 |
| Innovation Technologies Inc | 1 | $37 |
| Bioventus LLC | 1 | $35 |
| Sonex Health, Inc. | 1 | $26 |
| Endo USA, Inc. | 1 | $18 |
| Hologic Sales And Service, LLC | 1 | $14 |
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.
- AVANCE NERVE GRAFT$89,807
- AxoGuard Nerve Protector$83,314
- AxoGuard Nerve Connector$83,314
- AXOGUARD HA+ NERVE PROTECTOR$20,246
- AxoGuard Nerve Cap$20,071
- Checkpoint Stimulators$7,810
- AXOGUARD$6,452
- APTUS$4,155
- ACUMED$697
- Kerecis Omega3 Marigen$650
- INTEGRA$604
- PRIMATRIX$281
- INTEGRA DERMAL REGENERATION TEMPLATE$281
- INTEGRA WOUND MATRIX (IWM)$255
- NA$248
- Kerecis Omega3 SurgiClose$163
- DJO Surgical AltiVate Anatomic System$147
- A.L.P.S.$144
- PRIMARY SHOULDER$136
- BILAYER WOUND MATRIX (BWM)$133
How this compares
$136,289 in reported general payments places this provider in the 95th percentile of 60 hand surgery providers in Indiana.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $172 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Indianapolis
- Jeffrey GreenbergIndianapolis$121K
- Reed HoyerIndianapolis$110K
- Nicholas CrosbyIndianapolis$18K
- Kathryn PeckIndianapolis$11K
- Sameer PuriIndianapolis$11K
- Emily JewellIndianapolis$10K
- Robert LinkIndianapolis$10K
- Gregory MerrellIndianapolis$8K
- Gregory SchmidtIndianapolis$7K
- Richard MakowiecIndianapolis$7K
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.