Elizabeth Ouellette, MD
Hand Surgery · Coral Gables, FLNPI 1669436234
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (38.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Arthrex at 35.6% of the total. Reporting peaked in 2022 at $11,634 and has fallen 97.7% since, to $265 in 2025. Among hand surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 145 payments — averaging $229.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$12K
- Integra Lifesciences Corporation$11K
- Southern Edge Orthopaedics, Inc.$3K
- Akcea Therapeutics, Inc.$3K
- Amgen$901
- Sonex Health, Inc.$831
- plus $2K from 17 others
Across 16 payments — averaging $3249.77 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.
- Smith+Nephew$52K
What the payments were for
- Consulting fees$12,85039%
- Speaking & faculty fees$10,27031%
- Travel & lodging$1,1083%
- Food & beverage$4,50114%
- Education$4,41613%
- Other$1580%
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 |
|---|---|---|
| Arthrex | 19 | $11,861 |
| Integra Lifesciences Corporation | 34 | $11,185 |
| Southern Edge Orthopaedics, Inc. | 5 | $3,423 |
| Akcea Therapeutics, Inc. | 2 | $3,034 |
| Amgen(2 entities) | 39 | $901 |
| Sonex Health, Inc. | 9 | $831 |
| Ossio Inc | 3 | $387 |
| Axogen | 6 | $285 |
| Synthes GmbH | 1 | $250 |
| Biotissue Holdings Inc. | 4 | $199 |
| Johnson & Johnson | 4 | $153 |
| Endo Pharmaceuticals Inc. | 5 | $135 |
| Mentor Worldwide LLC | 1 | $115 |
| Medartis Inc. | 1 | $97 |
| Smith+Nephew | 1 | $80 |
| Stryker | 1 | $75 |
| Organogenesis Inc. | 3 | $74 |
| Trimed, Inc. | 1 | $64 |
| Orthocell LTD | 1 | $64 |
| Bioventus LLC | 2 | $39 |
| GE HealthCare | 1 | $21 |
| Zimmer Biomet | 1 | $19 |
| Illuminoss Medical, Inc. | 1 | $12 |
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.
- CARPAL TUNNEL RELEASE SYSTEM$9,500
- NEURAGEN$775
- TENOGLIDE$617
- Sx-One Microknife$508
- INTEGRA$434
- SURGIMEND$149
- PRIMATRIX$135
- ULTRAGUIDECTR$127
- ULTRAGUIDETFR$127
- NEOX$125
- CLARIX$125
- Prolia$123
- MENTOR MemoryGel Resterilizable Gel Sizer$115
How this compares
$33,303 in reported general payments places this provider in the 90th percentile of 173 hand surgery 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 |
|---|---|---|
| Mupirocin | 124 | $904 |
| Ibuprofen | 102 | $397 |
| Gentamicin Sulfate | 32 | $218 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $212 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Coral Gables
- Roy CardosoCoral Gables$79K
- Eduardo Gonzalez HernandezCoral Gables$7K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Justin ZumstegOrlando$133K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
- Helen Hui-ChouMiami$95K
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.