RxDoctor Payments Data

Donna Smith, MD

Hand Surgery · Auburn, WANPI 1225389935

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $725 of the $907 with a category attached, or 79.9%. 14 manufacturers reported payments, led by Zimmer Biomet at 43.4% of the total. Reporting peaked in 2022 at $650 and has fallen 97.5% since, to $16 in 2025. That places this record below the midpoint for hand surgery clinicians in WA, where the typical reported total is $1,269.

$907in general payments, 2019–2025

Across 24 payments — averaging $37.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$393
  • Smith+Nephew$134
  • Medartis Inc.$64
  • Zimvie Inc.$52
  • Stryker$50
  • Axogen$43
  • plus $170 from 8 others

What the payments were for

  • Travel & lodging$18220%
  • Food & beverage$72580%

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

19
21
22
23
24
25

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.

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.

How this compares

$907 in reported general payments places this provider in the 35th percentile of 75 hand surgery providers in Washington.

See all hand surgery providers in Washington

Medicare billing

Part B allowed, 2024
$91,573
Medicare patients
206
Services billed
1,209

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

DrugClaimsCost to plans & patients
Oxycodone Hcl32$144
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen23$138
Tramadol Hcl13$76

Paid to pharmacies, not to this prescriber.

Other hand surgery in Auburn

See the full list for Washington

Where these figures come from

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