David Lukowski, MD
Surgery of the Hand · Little River, SCNPI 1871793471
Payments from drug & device makers
What this record shows
16 manufacturers reported payments, led by Smith+Nephew at 56.9% of the total. Reporting peaked in 2019 at $724 and has fallen 82.4% since, to $127 in 2025.
Across 19 payments — averaging $72.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$781
- Restor3d, Inc.$119
- Skeletal Dynamics Inc$97
- Johnson & Johnson$90
- Peerless Surgical Inc.$43
- Heraeus Medical, LLC.$39
- plus $203 from 10 others
What the payments were for
- Travel & lodging$55140%
- Food & beverage$82160%
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 |
|---|---|---|
| Smith+Nephew | 4 | $781 |
| Restor3d, Inc. | 1 | $119 |
| Skeletal Dynamics Inc | 1 | $97 |
| Johnson & Johnson | 1 | $90 |
| Peerless Surgical Inc. | 1 | $43 |
| Heraeus Medical, LLC. | 1 | $39 |
| Medacta USA, Inc. | 1 | $30 |
| Abbott | 1 | $24 |
| Axogen | 1 | $24 |
| KCI USA, Inc. | 1 | $23 |
| Hill-rom Company, Inc | 1 | $22 |
| Medtronic | 1 | $18 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Kerecis Limited | 1 | $16 |
| Innovation Technologies Inc | 1 | $15 |
| Endo Pharmaceuticals 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.
- ACCUPASS DIRECT Crescent XL$551
- Bioraptor Knotless$551
- Q-FIX$551
- SPEEDLOCK HIP$551
- Suturefix$551
How this compares
Too few surgery of the hand providers in South Carolinato 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 |
|---|---|---|
| XiaflexCollagenase Clostridium Hist. | 20 | $135,638 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 111 | $592 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 70 | $242 |
| Ondansetron Hcl | 15 | $67 |
| Tramadol Hcl | 13 | $31 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Endo Pharmaceuticals Inc.Xiaflex | $15 | $135,63820 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. There are too few surgery of the hand providers in South Carolinaon file to place this against a meaningful peer group, so we don't.
Other surgery of the hand in Little River
- Manoucher TavanaCharleston$29K
- Nicholas WhiteFlorence$16K
- Milton ArmstrongCharleston$10K
- Mirsad MujadzicColumbia$10K
- Muamer MujadzicSumter$8K
- John McFaddenCharleston$6K
- Jason ClarkCharleston$3K
- Lawrence RudisillGreenville$2K
- Christopher LittsFlorence$2K
- Jesse LewisMurrells Inlet$798
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.