Brian Cash, MD
Orthopaedic Surgery · Charleston, SCNPI 1427445436
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.5%), grants and food and beverage — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Smith+Nephew at 45.8% of the total. Reporting peaked in 2020 at $26,131 and has fallen 98.6% since, to $371 in 2025. Among orthopaedic surgery clinicians in SC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 75 payments — averaging $583.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$20K
- Arthrex$19K
- Stryker$2K
- Peerless Surgical Inc.$1K
- Miach Orthopaedics, Inc.$845
- Linvatec Corporation$174
- plus $763 from 10 others
What the payments were for
- Grants$16,66738%
- Travel & lodging$2,4416%
- Food & beverage$3,4078%
- Education$21,21749%
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 |
|---|---|---|
| Smith+Nephew | 12 | $20,011 |
| Arthrex | 23 | $18,754 |
| Stryker | 15 | $1,748 |
| Peerless Surgical Inc. | 6 | $1,437 |
| Miach Orthopaedics, Inc. | 3 | $845 |
| Linvatec Corporation | 1 | $174 |
| Bodycad USA Corp | 1 | $137 |
| Zimmer Biomet | 2 | $132 |
| Exactech, Inc. | 1 | $131 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $129 |
| Vericel Corporation | 4 | $115 |
| Johnson & Johnson | 2 | $32 |
| Catalyst Orthoscience | 1 | $28 |
| Bioventus LLC | 1 | $21 |
| ERMI LLC | 1 | $21 |
| Abbott | 1 | $18 |
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.
- NOVOSTITCH PRO$1,066
- INSPACE$949
- GTS System$737
- Coblator II$737
- TRUNAV$737
- LENS$737
- NANOTACK FLEX$338
- REGENETEN Shoulder$329
- FAST-FIX FLEX$329
- HEALICOIL PK Hip$329
- Meniscal Root Repair System$329
- ALLOGRAFT TISSUE$174
- ICONIX$165
- NA$148
- Fine Osteotomy$137
- EQUINOXE$131
How this compares
$43,731 in reported general payments places this provider in the 90th percentile of 325 orthopaedic surgery providers in South Carolina.
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 | 53 | $1,284 |
| Diclofenac Sodium | 14 | $305 |
| Meloxicam | 125 | $262 |
| Naproxen | 17 | $62 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Charleston
- Brent PonceCharleston$874K
- Daniel ScottCharleston$70K
- Thomas MoranCharleston$56K
- Brandon RogalskiCharleston$20K
- Zeke WaltonCharleston$19K
- William SmithColumbia$7.7M
- Richard FrischMt Pleasant$1M
- Chi LimSpartanburg$320K
- Todd LansfordNorth Charleston$286K
- Nicholas GrimaldiColumbia$203K
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.