Clayton Alexander
Hand Surgery · York, PANPI 1174961049
Payments from drug & device makers
What this record shows
This record is dominated by education: $7,739 of the $12,725 with a category attached, or 60.8%. 20 manufacturers reported payments, led by Arthrex at 46.6% of the total. Reporting peaked in 2021 at $5,184 and has fallen 92.8% since, to $374 in 2025.
Across 96 payments — averaging $132.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$6K
- Supreme Orthopedic Systems, LLC$5K
- Endo Pharmaceuticals Inc.$591
- Endo USA, Inc.$166
- Axogen$161
- Arcutis Biotherapeutics, Inc.$160
- plus $835 from 14 others
What the payments were for
- Travel & lodging$2,16917%
- Food & beverage$2,81622%
- Education$7,73961%
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 |
|---|---|---|
| Arthrex | 26 | $5,924 |
| Supreme Orthopedic Systems, LLC | 18 | $4,888 |
| Endo Pharmaceuticals Inc. | 24 | $591 |
| Endo USA, Inc. | 5 | $166 |
| Axogen | 3 | $161 |
| Arcutis Biotherapeutics, Inc. | 1 | $160 |
| Smith+Nephew | 1 | $129 |
| Checkpoint Surgical, Inc | 4 | $104 |
| Trimed, Inc. | 1 | $102 |
| Acumed LLC | 1 | $94 |
| Exsomed Corporation | 1 | $93 |
| Stryker | 2 | $73 |
| Johnson & Johnson | 2 | $50 |
| Medartis Inc. | 1 | $49 |
| Dynasplint Systems Inc. | 1 | $44 |
| Mimedx Group, Inc. | 1 | $24 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $23 |
| Acacia Pharma Inc | 1 | $17 |
| Integra Lifesciences Corporation | 1 | $17 |
| Bioventus LLC | 1 | $17 |
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.
- XIAFLEX$348
- EVOS MINI$129
- EVOS WRIST$129
- EVOS SMALL$129
How this compares
$12,725 in reported general payments places this provider in the 70th percentile of 110 hand surgery providers in Pennsylvania.
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 |
|---|---|---|
| Meloxicam | 27 | $140 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in York
- John IngariYork$25K
- Jovito AngelesYork$9K
- Richard TrevinoYork$5K
- Thomas GrahamAllentown$1.4M
- Randall CulpPlains$358K
- Asif IlyasBryn Mawr$295K
- Arthur OstermanKing Of Prussia$198K
- Meredith OstermanKing Of Prussia$196K
- Adam StrohlPhiladelphia$175K
- Mark BaratzPittsburgh$112K
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.