Erich Lemker, MD
Plastic and Reconstructive Surgery · Fresno, CANPI 1568622355
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (32.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 90.8% of it on its own, with 23 other manufacturers making up the rest. 2025 is the largest year on record at $60,245, more than ten times the $1,737 reported in 2019. Among plastic and reconstructive surgery clinicians in CA 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 235 payments — averaging $380.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$81K
- Mentor Worldwide LLC$4K
- Musculoskeletal Transplant Foundation Inc.$1K
- Sientra, Inc.$428
- Axogen$297
- Zimmer Biomet$272
- plus $2K from 18 others
What the payments were for
- Consulting fees$27,16930%
- Speaking & faculty fees$29,13833%
- Travel & lodging$21,65724%
- Food & beverage$11,48313%
- Education$50%
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 |
|---|---|---|
| Smith+Nephew | 111 | $81,226 |
| Mentor Worldwide LLC | 70 | $4,128 |
| Musculoskeletal Transplant Foundation Inc. | 11 | $1,416 |
| Sientra, Inc. | 3 | $428 |
| Axogen | 5 | $297 |
| Zimmer Biomet | 2 | $272 |
| Urgo Medical North America, LLC | 2 | $261 |
| Johnson & Johnson(2 entities) | 6 | $239 |
| Acera Surgical, Inc. | 2 | $227 |
| Vioptix Inc | 1 | $153 |
| Tepha Inc | 2 | $138 |
| Polynovo North America LLC | 1 | $121 |
| TELA Bio, Inc. | 3 | $112 |
| RTI Surgical, Inc | 1 | $99 |
| AbbVie(2 entities) | 4 | $69 |
| Avita Medical Americas, LLC | 2 | $53 |
| Biocomposites Inc | 1 | $45 |
| Revance Therapeutics, Inc. | 2 | $44 |
| BD | 1 | $28 |
| Integra Lifesciences Corporation | 1 | $23 |
| KCI USA, Inc. | 1 | $20 |
| Boston Scientific | 1 | $18 |
| Organogenesis Inc. | 1 | $17 |
| Galderma Laboratories, L.p. | 1 | $16 |
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.
- RENASYS TOUCH$66,860
- PICO$14,511
- NA$10,631
- Grafix$6,232
- GRAFIX PL$5,578
- Grafix XC$5,578
- PICO 14$3,535
- Oasis$2,266
- COLLAGENASE SANTYL$2,100
- MENTOR MemoryGel Resterilizable Gel Sizer$1,987
- RENASYS GO v2 HOME$1,970
- Renasys$1,838
- ACTICOAT 4" X 4"$1,251
- STRAVIX PL$1,228
- Allevyn Gentle Border 10 x 10cm Ctn 10$1,129
- Versajet$1,129
- RENOVATION$656
- Stravix$654
- MENTOR CPX 2 Breast Tissue Expander$457
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$342
How this compares
$89,451 in reported general payments places this provider in the 95th percentile of 349 plastic and reconstructive surgery providers in California.
See all plastic and reconstructive surgery providers in California →
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.
Other plastic and reconstructive surgery in Fresno
- Mark SuskiThousand Oaks$294K
- Corey MaasSan Francisco$286K
- Arian MowlaviLaguna Beach$250K
- Charles LeeSan Francisco$200K
- David SieberSan Francisco$195K
- David KulberLos Angeles$194K
- Matthew NykielUpland$181K
- Subhas GuptaLoma Linda$178K
- Jeffrey HammoudehLos Angeles$159K
- Geoffrey GurtnerPalo Alto$127K
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.