Brent Egeland, MD
Surgery of the Hand · Austin, TXNPI 1053433375
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 30 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Alafair Biosciences, Inc. at 29.9% of the total. Reporting peaked in 2023 at $781 and has fallen 77.1% since, to $179 in 2025. That places this record below the midpoint for surgery of the hand clinicians in TX, where the typical reported total is $2,480.
Across 30 payments — averaging $73.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alafair Biosciences, Inc.$657
- Biotissue Holdings Inc.$643
- Access Pro Medical, LLC$276
- Smith+Nephew$147
- Integra Lifesciences Corporation$145
- Axogen$121
- plus $206 from 3 others
Across 3 payments — averaging $17,377 each. An ownership or investment interest held by the physician or an immediate family member.
- Alafair Biosciences, Inc.$52K
What the payments were for
- Food & beverage$2,193100%
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 |
|---|---|---|
| Alafair Biosciences, Inc. | 6 | $657 |
| Biotissue Holdings Inc. | 12 | $643 |
| Access Pro Medical, LLC | 1 | $276 |
| Smith+Nephew | 1 | $147 |
| Integra Lifesciences Corporation | 5 | $145 |
| Axogen | 1 | $121 |
| Kerecis Limited | 1 | $92 |
| Solventum Corporation | 1 | $73 |
| Vericel Corporation | 2 | $41 |
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.
- VersaWrap Tendon Protector$317
- Matriderm$276
- VersaWrap$269
- Oasis$147
- AVANCE NERVE GRAFT$121
- AxoGuard Nerve Connector$121
- AxoGuard Nerve Protector$121
- AXOGUARD HA+ NERVE PROTECTOR$121
- AxoGuard Nerve Cap$121
How this compares
$2,193 in reported general payments places this provider in the 45th percentile of 68 surgery of the hand providers in Texas.
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.
Other surgery of the hand in Austin
- Harrison KayAustin$19K
- Gregg VagnerAustin$9K
- Ira LownAustin$5K
- Sanjay SharmaAustin$1K
- Umeshchandra GadariaAustin$453
- Desirae McKeeLubbock$59K
- Stuart HilliardDenton$21K
- Suresh KoneruSan Antonio$17K
- Dustin RayDallas$15K
- Laurence WeiderDallas$13K
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.