Elkin Galvis Leon, MD
Hand Surgery · Louisville, KYNPI 1922310317
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Alpha Orthopedic Systems at 58.0% of the total. Reporting peaked in 2020 at $1,727 and has fallen 97.7% since, to $39 in 2025.
Across 46 payments — averaging $125.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$3K
- Axogen$2K
- Johnson & Johnson$124
- Endo Pharmaceuticals Inc.$120
- Skeletal Dynamics Inc$117
- Acera Surgical, Inc.$109
- plus $118 from 3 others
What the payments were for
- Travel & lodging$1,17520%
- Food & beverage$1,82432%
- Education$2,79048%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 12 | $3,354 |
| Axogen | 15 | $1,845 |
| Johnson & Johnson | 2 | $124 |
| Endo Pharmaceuticals Inc. | 8 | $120 |
| Skeletal Dynamics Inc | 2 | $117 |
| Acera Surgical, Inc. | 2 | $109 |
| Smith+Nephew | 1 | $47 |
| Acumed LLC | 2 | $39 |
| Endo USA, Inc. | 2 | $32 |
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
$5,788 in reported general payments places this provider in the 80th percentile of 56 hand surgery providers in Kentucky.
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 | 83 | $367 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 54 | $261 |
| Methylprednisolone | 24 | $170 |
| Levofloxacin | 12 | $135 |
| Ibuprofen | 13 | $94 |
| Celecoxib | 12 | $93 |
| Tramadol Hcl | 47 | $78 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $68 |
| Meloxicam | 21 | $66 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $50 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Louisville
- Amitava GuptaLouisville$175K
- Tuna OzyurekogluLouisville$25K
- Stephanie MerimeeLouisville$16K
- Luke RobinsonLouisville$12K
- Monica PecacheLouisville$11K
- Rodrigo Moreno GarciaLouisville$10K
- Michelle PalazzoLouisville$7K
- Jorge Quintero PerezLouisville$7K
- Kjell van RoyenLouisville$6K
- Yousif El-GammalLouisville$4K
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.