Chia Wu, MD
Hand Surgery · Baytown, TXNPI 1124464680
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (43.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Medinc Of Texas at 24.3% of the total. Reporting peaked in 2019 at $3,473 and has fallen 95.7% since, to $150 in 2025.
Across 129 payments — averaging $86.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medinc Of Texas$3K
- Arthrex$2K
- Stryker$2K
- Integra Lifesciences Corporation$1K
- Skeletal Dynamics Inc$766
- Synthes GmbH$500
- plus $2K from 18 others
What the payments were for
- Speaking & faculty fees$5004%
- Travel & lodging$4,55841%
- Food & beverage$4,88044%
- Education$1,20011%
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 |
|---|---|---|
| Medinc Of Texas | 15 | $2,707 |
| Arthrex | 26 | $2,164 |
| Stryker | 34 | $1,922 |
| Integra Lifesciences Corporation | 12 | $1,326 |
| Skeletal Dynamics Inc | 2 | $766 |
| Synthes GmbH | 1 | $500 |
| Acumed LLC | 7 | $445 |
| Johnson & Johnson(2 entities) | 5 | $381 |
| Smith+Nephew | 4 | $183 |
| Axogen | 3 | $149 |
| Endo USA, Inc. | 1 | $130 |
| Zimmer Biomet | 1 | $119 |
| Globus Medical | 3 | $60 |
| Heraeus Medical, LLC. | 2 | $47 |
| ERMI LLC | 1 | $36 |
| Medela LLC | 2 | $32 |
| Heron Therapeutics, Inc. | 1 | $31 |
| Sonex Health, Inc. | 2 | $30 |
| Boston Scientific | 1 | $24 |
| Endo Pharmaceuticals Inc. | 2 | $24 |
| Solventum Corporation | 1 | $19 |
| Radius Health, Inc. | 1 | $19 |
| Bioventus LLC | 1 | $16 |
| Alafair Biosciences, Inc. | 1 | $9 |
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.
- FREEDOM WRIST$1,006
- External Fixation System$1,006
- Geminus$720
- Align$720
- IJS$720
- Implate$720
- PYRO MCP$639
- TSSM - TOTAL SHOULDER SYSTEM METAL$639
- TITAN-SHOULDER$639
- REUNION$263
- ACUMED$247
- OsteoMed$247
- VA-LCP$236
- MAKO$178
- EVOLVE$161
- Acu-Loc Wrist Spanning System$136
- XIAFLEX$130
- ADAPT$124
- TM Augments Revision$119
- Versajet$116
How this compares
$11,139 in reported general payments places this provider in the 75th percentile of 170 hand surgery providers in Texas.
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 |
|---|---|---|
| Gabapentin | 142 | $943 |
| Celecoxib | 35 | $443 |
| Meloxicam | 74 | $400 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 86 | $263 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 54 | $233 |
| Ketorolac Tromethamine | 19 | $208 |
| Tramadol Hcl | 63 | $90 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $85 |
| Cyclobenzaprine Hcl | 18 | $79 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $36 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Baytown
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.