Claudiu Muresan
Surgery of the Hand · Louisville, KYNPI 1225352081
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Alpha Orthopedic Systems at 48.1% of the total. Reporting peaked in 2021 at $5,203 and has fallen 78.5% since, to $1,118 in 2025. Among surgery of the hand clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 82 payments — averaging $133.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$5K
- Arthrex$2K
- Skeletal Dynamics Inc$741
- Mid-atlantic Surgical Systems, LLC$637
- Medartis Inc.$621
- Axogen$446
- plus $1K from 13 others
What the payments were for
- Travel & lodging$2,36622%
- Food & beverage$2,81926%
- Education$5,77453%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 16 | $5,269 |
| Arthrex | 10 | $2,115 |
| Skeletal Dynamics Inc | 5 | $741 |
| Mid-atlantic Surgical Systems, LLC | 4 | $637 |
| Medartis Inc. | 6 | $621 |
| Axogen | 6 | $446 |
| Endo Pharmaceuticals Inc. | 8 | $226 |
| Acumed LLC | 5 | $198 |
| Checkpoint Surgical, Inc | 2 | $153 |
| AbbVie | 1 | $122 |
| Stryker | 4 | $109 |
| Smith+Nephew | 4 | $69 |
| Endo USA, Inc. | 3 | $59 |
| Polynovo North America LLC | 2 | $50 |
| Bioventus LLC | 2 | $42 |
| Integra Lifesciences Corporation | 1 | $29 |
| Merz Pharmaceuticals, LLC | 1 | $26 |
| Johnson & Johnson | 1 | $23 |
| Kerecis Limited | 1 | $23 |
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.
- Geminus$647
- Align$647
- IJS$647
- Implate$647
- APTUS$537
- ACUMED$228
- AVANCE NERVE GRAFT$147
- Checkpoint Stimulators$125
- NATRELLE$122
- NanoPhix Implant$114
- XIAFLEX$104
How this compares
$10,959 in reported general payments places this provider in the 90th percentile of 36 surgery of the hand providers in Kentucky.
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 |
|---|---|---|
| Cephalexin | 38 | $582 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $198 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Louisville
- Luis SchekerLouisville$5.8M
- Michael NicosonLouisville$18K
- Wai Jing Geraldine KongLouisville$10K
- Huey Yuan TienLouisville$8K
- Israel TorresLouisville$5K
- Mohammed ElnoorLouisville$5K
- Kao FangLouisville$5K
- Misbah Al HanbaliLouisville$4K
- Russell ShatfordLouisville$4K
- Chern Yang Harmony TanLouisville$4K
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.