David Ratliff, MD
Hand Surgery · Wayne, NJNPI 1740569805
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,285 of the $3,658 with a category attached, or 89.8%. It is spread thinly across 19 manufacturers, the largest accounting for just 23.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,224 and has fallen 77.1% since, to $281 in 2025. That places this record below the midpoint for hand surgery clinicians in NJ, where the typical reported total is $3,086.
Across 65 payments — averaging $56.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$854
- Axogen$790
- Zimmer Biomet$592
- Seapearl East, Inc$209
- Globus Medical$208
- Trice Medical, Inc.$173
- plus $832 from 13 others
What the payments were for
- Food & beverage$3,28590%
- Education$37310%
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 |
|---|---|---|
| Stryker | 17 | $854 |
| Axogen | 6 | $790 |
| Zimmer Biomet | 8 | $592 |
| Seapearl East, Inc | 3 | $209 |
| Globus Medical(2 entities) | 6 | $208 |
| Trice Medical, Inc. | 2 | $173 |
| Arteriocyte Medical Systems, Inc. | 1 | $136 |
| Kerecis Limited | 2 | $118 |
| Smith+Nephew | 3 | $109 |
| Johnson & Johnson | 2 | $103 |
| Davol Inc. | 1 | $84 |
| Pacira Pharmaceuticals Incorporated | 3 | $65 |
| Endo Pharmaceuticals Inc. | 4 | $57 |
| Integra Lifesciences Corporation | 2 | $41 |
| Orthofix Medical, Inc. | 1 | $34 |
| Linkbio Corp | 1 | $25 |
| Avanos Medical | 1 | $24 |
| Ossur Americas, Inc. | 1 | $19 |
| Bridgebio Pharma, Inc. | 1 | $18 |
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.
- AxoGuard Nerve Protector$686
- AxoGuard Nerve Connector$686
- Comprehensive Shoulder System$132
- Identity$130
- MAKO$112
- ACCOLADE$112
- HOFFMANN$103
How this compares
$3,658 in reported general payments places this provider in the 50th percentile of 87 hand surgery providers in New Jersey.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 70 | $477 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Wayne
- Alejandro Morales RestrepoWayne$14K
- Peter DenobleWayne$3K
- Charles LeinberryEgg Harbor Twp$3.1M
- John CapoJersey City$1.1M
- Virak TanNewark$711K
- Gary PessEatontown$212K
- Mark RekantCherry Hill$209K
- Teddy AtikEatontown$37K
- Bishoy SaadJersey City$33K
- Genghis NiverFlorham Park$27K
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.