RxDoctor Payments Data

Chad Manke, MD

Hand Surgery · Va Beach, VANPI 1114965159

Payments from drug & device makers

What this record shows

The money is spread across several categories — other (47.8%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Zimmer Biomet accounts for 70.2% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2023 at $52,349 and has fallen 69.8% since, to $15,833 in 2025. Among hand surgery clinicians in VA 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.

$103,815in general payments, 2019–2025

Across 154 payments — averaging $674.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$73K
  • Exactech, Inc.$20K
  • Trimed, Inc.$3K
  • Fortis Surgical, LLC$2K
  • Medical Device Business Services, Inc.$2K
  • Medacta USA, Inc.$970
  • plus $4K from 20 others
$457,125in research payments, 2019–2025

Across 27 payments — averaging $16,931 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.

  • Exactech, Inc.$457K
$450,195in ownership & investment interests, 2019–2025

Across 7 payments — averaging $64,314 each. An ownership or investment interest held by the physician or an immediate family member.

  • Zimmer Biomet$276K
  • Spinal Simplicity, LLC$175K
  • Embody, Inc.$0

What the payments were for

  • Consulting fees$35,60034%
  • Speaking & faculty fees$1,3841%
  • Travel & lodging$7,7367%
  • Food & beverage$8,0728%
  • Education$1,4121%
  • Other$49,61048%

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.

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

$103,815 in reported general payments places this provider in the 95th percentile of 81 hand surgery providers in Virginia.

See all hand surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$578,223
Medicare patients
1,089
Services billed
6,401

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen105$505
Ondansetron OdtOndansetron65$342
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen65$241
Ondansetron Hcl45$163
Meloxicam15$57
Methylprednisolone11$48
Tramadol Hcl16$35

Paid to pharmacies, not to this prescriber.

Other hand surgery in Va Beach

See the full list for Virginia

Where these figures come from

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