RxDoctor Payments Data

Charles Goldfarb, MD

Surgery of the Hand · Saint Louis, MONPI 1871511352

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. Acumed LLC accounts for 64.7% of it on its own, with 3 other manufacturers making up the rest. Among surgery of the hand clinicians in MO 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.

$120,670in general payments, 2019–2025

Across 111 payments — averaging $1087.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Acumed LLC$78K
  • Checkpoint Surgical, Inc$20K
  • Arthrex$20K
  • Elite Orthopedics, LLC$3K

What the payments were for

  • Consulting fees$49,77541%
  • Speaking & faculty fees$59,75550%
  • Travel & lodging$7,1066%
  • Food & beverage$1,5331%
  • Education$2,5002%

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
Acumed LLC80$78,041
Checkpoint Surgical, Inc6$20,475
Arthrex18$19,533
Elite Orthopedics, LLC7$2,621

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

$120,670 in reported general payments places this provider in the 95th percentile of 30 surgery of the hand providers in Missouri.

See all surgery of the hand providers in Missouri

Medicare billing

Part B allowed, 2024
$36,836
Medicare patients
77
Services billed
1,718

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen24$100

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Saint Louis

See the full list for Missouri

Where these figures come from

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