Chad Manke, MD
Hand Surgery · Va Beach, VANPI 1114965159
Payments from drug & device makers
Across 179 payments — averaging $4952.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$352K
- Zimmer Biomet$348K
- Spinal Simplicity, LLC$175K
- Trimed, Inc.$3K
- Fortis Surgical, LLC$2K
- Medical Device Business Services, Inc.$2K
- plus $4K from 22 others
Across 9 payments — averaging $13,844 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.$125K
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
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 |
|---|---|---|
| Exactech, Inc. | 42 | $352,290 |
| Zimmer Biomet | 53 | $348,464 |
| Spinal Simplicity, LLC | 3 | $174,590 |
| Trimed, Inc. | 5 | $2,903 |
| Fortis Surgical, LLC | 6 | $1,989 |
| Medical Device Business Services, Inc. | 2 | $1,800 |
| Medacta USA, Inc. | 5 | $970 |
| Johnson & Johnson | 7 | $456 |
| Stryker | 5 | $416 |
| Endo Pharmaceuticals Inc. | 15 | $355 |
| Smith+Nephew | 6 | $320 |
| Arthrex | 2 | $268 |
| KCI USA, Inc. | 3 | $231 |
| Sanara Medtech Inc. | 1 | $202 |
| Encore Medical, LP | 2 | $191 |
| Shoulder Innovations, Inc. | 2 | $145 |
| Flower Orthopedics Coporation | 1 | $143 |
| Vertex | 2 | $136 |
| Anika Therapeutics, Inc. | 2 | $135 |
| Integra Lifesciences Corporation | 3 | $133 |
| Akcea Therapeutics, Inc. | 1 | $125 |
| Skeletal Dynamics Inc | 1 | $99 |
| Endo USA, Inc. | 4 | $72 |
| Bioventus LLC | 2 | $38 |
| Davol Inc. | 1 | $28 |
| Innovation Technologies Inc | 1 | $23 |
| Acumed LLC | 1 | $12 |
| Embody, Inc. | 1 | $0 |
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.
- TAPESTRY$49,508
- EQUINOXE$19,688
- LCP PLATES & SCREWS$900
- Shoulder System$614
- Comprehensive Shoulder System$554
- GMK SPHERE$254
- CellerateRx$202
- ActivBraid$157
- Regeneten$149
- Persona$146
- INHANCE$139
- COMPREHENSIVE$136
- AEQUALIS PERFORM REVERSED$134
- AEQUALIS PERFORM$130
- TEGSEDI$125
- ROSA$123
- InSet System$122
- Integrity$114
- OVOMotion$114
- Anchors$114
How this compares
$886,535 in reported general payments places this provider in the 95th percentile of 81 hand surgery providers in 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 105 | $505 |
| Ondansetron OdtOndansetron | 65 | $342 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 65 | $241 |
| Ondansetron Hcl | 45 | $163 |
| Meloxicam | 15 | $57 |
| Methylprednisolone | 11 | $48 |
| Tramadol Hcl | 16 | $35 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Va Beach
- Bradley CarofinoChesapeake$1.1M
- Lance DavlinNorfolk$341K
- Dylan DealCharlottesville$121K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Cesar BravoRoanoke$44K
- Aaron FreilichCharlottesville$31K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
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.