David Galpern, MD
Surgery of the Hand · Richmond, VANPI 1144340183
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.6%), travel and lodging and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Trimed, Inc. at 46.2% of the total. Reporting peaked in 2020 at $2,530 and has fallen 82.8% since, to $434 in 2025.
Across 50 payments — averaging $78.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$2K
- Fortis Surgical, LLC$655
- Integra Lifesciences Corporation$225
- Medartis Inc.$134
- Stryker$118
- Trice Medical, Inc.$115
- plus $852 from 17 others
What the payments were for
- Travel & lodging$93724%
- Food & beverage$2,17056%
- Education$62116%
- Other$1765%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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. | 2 | $1,806 |
| Fortis Surgical, LLC | 3 | $655 |
| Integra Lifesciences Corporation | 5 | $225 |
| Medartis Inc. | 1 | $134 |
| Stryker | 2 | $118 |
| Trice Medical, Inc. | 2 | $115 |
| Johnson & Johnson | 3 | $103 |
| Checkpoint Surgical, Inc | 2 | $100 |
| Endo Pharmaceuticals Inc. | 5 | $100 |
| Organogenesis Inc. | 3 | $86 |
| Polynovo North America LLC | 3 | $70 |
| Lifenet Health | 3 | $51 |
| Convatec Inc. | 2 | $47 |
| Endo USA, Inc. | 2 | $44 |
| Acell, Inc. | 2 | $42 |
| AbbVie | 2 | $41 |
| Medtronic | 1 | $29 |
| Smith+Nephew | 1 | $27 |
| Kerecis Limited | 1 | $27 |
| Sonex Health, Inc. | 1 | $27 |
| Misonix Inc | 2 | $25 |
| Axogen | 1 | $16 |
| Sanara Medtech Inc. | 1 | $15 |
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.
- AMNIOEXCEL$176
- APTUS$134
How this compares
Too few surgery of the hand providers in Virginiato 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.
Other surgery of the hand in Richmond
- Stephen LeibovicRichmond$436
- Wyndell MerrittHenrico$13K
- Wayne ChenVirginia Beach$10K
- Hatcher CoxSalem$6K
- Peter ThomasAlexandria$6K
- Santiago RodriguezNorfolk$5K
- Alexander CroogMc Lean$4K
- Ramon de JesusNorfolk$4K
- Arjun DhayalanChesapeake$444
- Raymond MorganCharlottesville$118
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.