David Black, MD
Hand Surgery · Little Rock, ARNPI 1154548972
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (37.5%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Trimed, Inc. accounts for 73.1% of it on its own, with 10 other manufacturers making up the rest.
Across 46 payments — averaging $272.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$9K
- Midsouth Orthopedics Inc.$1K
- Axogen$1K
- Stryker$391
- Smith+Nephew$352
- Medical Device Business Services, Inc.$73
- plus $183 from 5 others
What the payments were for
- Speaking & faculty fees$2,50020%
- Travel & lodging$4,69537%
- Food & beverage$4,02332%
- Education$1,19910%
- Entertainment$1191%
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 |
|---|---|---|
| Trimed, Inc. | 18 | $9,166 |
| Midsouth Orthopedics Inc. | 3 | $1,238 |
| Axogen | 6 | $1,134 |
| Stryker | 3 | $391 |
| Smith+Nephew | 6 | $352 |
| Medical Device Business Services, Inc. | 1 | $73 |
| Johnson & Johnson | 2 | $62 |
| Integra Lifesciences Corporation | 2 | $44 |
| Endo Pharmaceuticals Inc. | 2 | $36 |
| Amgen | 2 | $25 |
| Bioventus LLC | 1 | $16 |
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.
- Tools - WFS$2,580
- AxoGuard Nerve Connector$870
- AxoGuard Nerve Protector$870
- Tools - FPS$455
- INTEGRA$259
- Ascension$259
- MemoFix Super Elastic Nitinol Staple System$259
- CROSSFIRE$174
- 1688$174
- 1788$145
- AVANCE NERVE GRAFT$138
How this compares
Too few hand surgery providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 69 | $300 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 45 | $145 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $131 |
| Meloxicam | 34 | $123 |
| Cephalexin | 11 | $107 |
| Methylprednisolone | 18 | $107 |
| Tramadol Hcl | 16 | $31 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Little Rock
- Sean MorellLittle Rock$4K
- Brian NortonLittle Rock$3K
- John BraceyLittle Rock$3K
- George FrazierLittle Rock$2K
- Matthew BurnLittle Rock$2K
- Jeanine AnderssonLittle Rock$300
- John StephensonLittle Rock$119
- Theresa WyrickLittle Rock$15
- Andreas ChenRogers$16K
- Jesse AbelerNorth Little Rock$10K
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.