David Miller, MD
Hand Surgery · Reston, VANPI 1669467684
Payments from drug & device makers
What this record shows
21 manufacturers reported payments, led by Axogen at 44.4% of the total. Reporting peaked in 2023 at $3,765 and has fallen 93.5% since, to $245 in 2025.
Across 67 payments — averaging $82.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Sonex Health, Inc.$913
- Encore Medical, LP$363
- Integra Lifesciences Corporation$278
- US Implant Solutions, LLC$245
- Zimmer Biomet$234
- plus $1K from 15 others
What the payments were for
- Travel & lodging$2,71249%
- Food & beverage$2,82151%
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 |
|---|---|---|
| Axogen | 7 | $2,456 |
| Sonex Health, Inc. | 7 | $913 |
| Encore Medical, LP | 3 | $363 |
| Integra Lifesciences Corporation | 7 | $278 |
| US Implant Solutions, LLC | 1 | $245 |
| Zimmer Biomet | 8 | $234 |
| Endo Pharmaceuticals Inc. | 10 | $234 |
| Amgen | 2 | $134 |
| Stryker | 2 | $117 |
| Sanofi Pasteur Inc. | 5 | $114 |
| Trice Medical, Inc. | 3 | $101 |
| Ossio Inc | 1 | $85 |
| Orthofix Medical, Inc. | 3 | $66 |
| Illuminoss Medical, Inc. | 1 | $35 |
| Supreme Orthopedic Systems, LLC | 1 | $32 |
| Arthrosurface Incorporated | 1 | $31 |
| Johnson & Johnson | 1 | $22 |
| Dynasplint Systems Inc. | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $18 |
| Checkpoint Surgical, Inc | 1 | $17 |
| Smith+Nephew | 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.
- AVANCE NERVE GRAFT$2,326
- AxoGuard Nerve Connector$2,326
- AxoGuard Nerve Protector$2,326
- Sx-One Microknife$865
- DJO SURGICAL$277
- TENOGLIDE$135
- KRYSTEXXA$119
How this compares
$5,533 in reported general payments places this provider in the 65th percentile of 81 hand surgery providers in Virginia.
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 | 25 | $159 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $146 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Reston
- Mohammad Ali KhoshnevisanReston$11K
- Baris YildirimReston$5K
- Daniel LainoReston$573
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
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.