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Carl Williams, MD

Surgery of the Hand · Las Vegas, NVNPI 1194734244

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $4,288 of the $7,010 with a category attached, or 61.2%. It is spread thinly across 31 manufacturers, the largest accounting for just 23.2%.

$7,010in general payments, 2019–2025

Across 129 payments — averaging $54.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medical Device Business Services, Inc.$2K
  • Medartis Inc.$972
  • Smith+Nephew$709
  • Integra Lifesciences Corporation$561
  • Kerecis Limited$412
  • Acera Surgical, Inc.$285
  • plus $2K from 25 others

What the payments were for

  • Consulting fees$1,60023%
  • Speaking & faculty fees$1502%
  • Travel & lodging$97214%
  • Food & beverage$4,28861%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Medical Device Business Services, Inc.2$1,624
Medartis Inc.1$972
Smith+Nephew32$709
Integra Lifesciences Corporation15$561
Kerecis Limited7$412
Acera Surgical, Inc.7$285
Polynovo North America LLC5$273
Lifenet Health5$261
Convatec Inc.4$220
Paratek Pharmaceuticals, Inc.9$182
Sanara Medtech Inc.4$175
Mentor Worldwide LLC3$167
Galderma Laboratories, L.p.1$150
Avita Medical Americas, LLC2$145
AbbVie(2 entities)8$116
Amnio Technology, LLC1$115
ETS Wound Care LLC2$103
Organogenesis Inc.3$92
Inari Medical, Inc.1$91
Mimedx Group, Inc.2$48
Endo Pharmaceuticals Inc.2$43
Axogen1$42
Endo USA, Inc.2$39
KCI USA, Inc.2$37
Solventum Corporation1$33
Biodermis LLC1$29
Tactile Systems Technology Inc2$25
Misonix Inc1$23
Johnson & Johnson1$20
Medela LLC1$17
Apyx Medical Corporation1$4

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

Too few surgery of the hand providers in Nevadato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$439,476
Medicare patients
441
Services billed
2,341

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

DrugClaimsCost to plans & patients
Cephalexin178$871
Gentamicin Sulfate21$776
Tramadol Hcl128$301
Methylprednisolone49$295
Ibuprofen27$208
Clindamycin Hcl29$135
Ciprofloxacin Hcl12$45

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Las Vegas

See the full list for Nevada →

Where these figures come from

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