Dominic Patillo, MD
Hand Surgery · Lake Oswego, ORNPI 1275649162
Payments from drug & device makers
What this record shows
Acumed LLC accounts for 66.7% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $1,138 and has fallen 79.3% since, to $236 in 2025. That places this record below the midpoint for hand surgery clinicians in OR, where the typical reported total is $1,988.
Across 26 payments — averaging $62.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$1K
- Alafair Biosciences, Inc.$166
- Johnson & Johnson$69
- Smith+Nephew$55
- Pacira Therapeutics, Inc.$48
- Heraeus Medical, LLC.$37
- plus $167 from 7 others
What the payments were for
- Travel & lodging$66841%
- Food & beverage$95659%
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 |
|---|---|---|
| Acumed LLC | 6 | $1,083 |
| Alafair Biosciences, Inc. | 1 | $166 |
| Johnson & Johnson(2 entities) | 4 | $69 |
| Smith+Nephew | 3 | $55 |
| Pacira Therapeutics, Inc. | 2 | $48 |
| Heraeus Medical, LLC. | 3 | $37 |
| Steelhead Surgical Inc | 1 | $36 |
| Davol Inc. | 1 | $33 |
| Nalu Medical, Inc. | 1 | $31 |
| Bioventus LLC | 1 | $21 |
| Medtronic | 1 | $17 |
| DJO, LLC | 1 | $17 |
| Endo Pharmaceuticals Inc. | 1 | $13 |
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.
- Polarus 3 Solution$768
- Elbow Plating System$768
- Acu-Loc Wrist Plating System$768
- VersaWrap Tendon Protector$166
- ACUMED$150
- Hand Fracture System$100
How this compares
$1,624 in reported general payments places this provider in the 45th percentile of 28 hand surgery providers in Oregon.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 80 | $483 |
| Oxycodone Hcl | 60 | $275 |
| Cephalexin | 20 | $270 |
| Diclofenac Potassium | 11 | $242 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $119 |
| Tramadol Hcl | 33 | $102 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lake Oswego
- Adam MirarchiPortland$99K
- James VerheydenBend$89K
- Heather CampionEugene$38K
- Jocelyn ComptonPortland$15K
- Christopher HealyBend$12K
- Jenna GodfreyEugene$10K
- Phillip BraunlichRoseburg$9K
- David BearEugene$9K
- Samuel Cohen-TanugiPortland$7K
- Allison MitchellSalem$7K
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.