Chad Lavender, MD
Orthopaedic Surgery · Charleston, WVNPI 1932360955
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 98.5% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $78,414, 3.1 times the $25,515 reported in 2019. Among orthopaedic surgery clinicians in WV 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 435 payments — averaging $716.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$307K
- Mid-atlantic Surgical Systems, LLC$3K
- Abbott$966
- Medwest Associates$487
- Ferring Pharmaceuticals Inc.$86
- Smoky Mountain Surgical LLC$80
- plus $400 from 11 others
Across 17 payments — averaging $8733.21 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.
- Arthrex$148K
What the payments were for
- Royalty or licence$2,2161%
- Consulting fees$113,52736%
- Speaking & faculty fees$154,24549%
- Travel & lodging$33,61511%
- Food & beverage$8,0333%
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 |
|---|---|---|
| Arthrex | 321 | $306,907 |
| Mid-atlantic Surgical Systems, LLC | 39 | $2,708 |
| Abbott | 52 | $966 |
| Medwest Associates | 2 | $487 |
| Ferring Pharmaceuticals Inc. | 5 | $86 |
| Smoky Mountain Surgical LLC | 1 | $80 |
| Pacira Therapeutics, Inc. | 4 | $78 |
| SPR Therapeutics, Inc | 1 | $57 |
| Encore Medical, LP | 1 | $50 |
| Team 1, LLC | 1 | $48 |
| Pacira Pharmaceuticals Incorporated | 2 | $39 |
| Reel Surgical, Inc. | 1 | $31 |
| Vertex | 1 | $23 |
| COSA Medical, LLC | 1 | $21 |
| Bioventus LLC | 1 | $19 |
| MVP Orthopedics Inc | 1 | $18 |
| Pinnacle, Inc | 1 | $15 |
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.
- ARTHREX$21,294
- BIOLOGICS CONSUMABLES SOFT TISSUE REPAIR AMNION$1,050
- BIOLOGICS CONSUMABLES AUTOLOGOUS BLOOD PRODUCTS BONE MARROW$700
- BIOLOGICS CONSUMABLES BONE REPAIR BONE GRAFT$700
- BIOLOGICS CONSUMABLES BONE REPAIR CELLULAR BONE GRAFTING KIT$115
- ETERNA$103
How this compares
$311,635 in reported general payments places this provider in the 95th percentile of 93 orthopaedic surgery providers in West Virginia.
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 |
|---|---|---|
| Methylprednisolone | 107 | $662 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Charleston
- Alexander RosensteinCharleston$45K
- Jonathan CallegariCharleston$39K
- Paul LeggCharleston$15K
- Shawn StormCharleston$4K
- Manuel MolinaCharleston$4K
- Jason CastleCharleston$2K
- Benjamin FryeMorgantown$329K
- Steven LochowHuntington$146K
- Joshua SykesBridgeport$108K
- Scott DaffnerMorgantown$102K
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.