David Shenassa, MD
Surgery of the Hand · Plantation, FLNPI 1417108895
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $65,400 of the $108,910 with a category attached, or 60.0%. Trice Medical, Inc. accounts for 61.7% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2021 at $47,669 and has fallen 72.7% since, to $13,000 in 2025. Among surgery of the hand clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 237 payments — averaging $459.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trice Medical, Inc.$67K
- Exsomed Corporation$12K
- Acumed LLC$11K
- Captiox LLC$10K
- Illuminoss Medical, Inc.$4K
- Axogen$2K
- plus $3K from 17 others
Across 4 payments — averaging $6675.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Illuminoss Medical, Inc.$27K
What the payments were for
- Consulting fees$65,40060%
- Speaking & faculty fees$8,7008%
- Travel & lodging$25,09723%
- Food & beverage$9,2949%
- Gifts$1740%
- Other$2450%
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 |
|---|---|---|
| Trice Medical, Inc. | 75 | $67,214 |
| Exsomed Corporation | 26 | $11,606 |
| Acumed LLC | 16 | $10,923 |
| Captiox LLC | 8 | $9,546 |
| Illuminoss Medical, Inc. | 19 | $4,133 |
| Axogen | 16 | $2,225 |
| Biotissue Holdings Inc. | 14 | $704 |
| Stryker | 5 | $422 |
| Amgen | 17 | $405 |
| Endo Pharmaceuticals Inc. | 17 | $358 |
| Tenex Health Inc. | 6 | $313 |
| Integra Lifesciences Corporation | 1 | $245 |
| Arthrex | 2 | $190 |
| Skeletal Dynamics Inc | 1 | $121 |
| Medartis Inc. | 1 | $85 |
| Carbofix Orthopedics Inc | 1 | $82 |
| Endo USA, Inc. | 3 | $78 |
| Biocircuit Technologies Inc | 1 | $76 |
| Acera Surgical, Inc. | 2 | $53 |
| Kowa Pharmaceuticals America, Inc. | 3 | $52 |
| Trimed, Inc. | 1 | $49 |
| Smith+Nephew | 1 | $26 |
| Dynasplint Systems Inc. | 1 | $5 |
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.
- Segway blade or mieye camera$45,449
- ACUMED$25,732
- INnate Implant$20,843
- Captiox CMC Spacer$9,541
- Captiox Ulnar Shortening Implant$9,541
- InFrame Implant$7,650
- ArrowPhix System$5,620
- ArcPhix System$5,620
- Photodynamic Bone Stabilization System$2,881
- AxoGuard Nerve Connector$1,838
- AxoGuard Nerve Protector$1,838
- Hand Fracture System$1,045
- Elbow Plating System$1,045
- Radial Head Plating System$1,045
- Photodynamic Bone Stabilization Procedure Pack$875
- NanoPhix Implant$429
- Montage 5cc$429
- VARIAX$301
- MICROMATRIX$245
- Geminus$121
How this compares
$108,910 in reported general payments places this provider in the 95th percentile of 60 surgery of the hand providers in Florida.
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 | 105 | $1,153 |
| Ondansetron Hcl | 80 | $482 |
| Ibuprofen | 90 | $357 |
| Methylprednisolone | 52 | $325 |
| Meloxicam | 48 | $90 |
| Tramadol Hcl | 15 | $40 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Plantation
- Lewis EastlickPlantation$53
- Thomas WrightGainesville$4.1M
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
- David HalpernTampa$19K
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.