Grzegorz Kwiecien, MD
Surgery of the Hand · Cleveland, OHNPI 1629463328
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.0%), education and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 23.7%. Reporting peaked in 2019 at $2,758 and has fallen 94.2% since, to $161 in 2025.
Across 43 payments — averaging $130.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Axogen$887
- Rock Medical Orthopedics, Inc.$887
- Integra Lifesciences Corporation$668
- Medical Device Business Services, Inc.$649
- Aptis Medical, LLC$234
- plus $956 from 11 others
What the payments were for
- Travel & lodging$93217%
- Food & beverage$2,97653%
- Education$1,70430%
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 |
|---|---|---|
| AbbVie | 8 | $1,331 |
| Axogen | 9 | $887 |
| Rock Medical Orthopedics, Inc. | 1 | $887 |
| Integra Lifesciences Corporation | 6 | $668 |
| Medical Device Business Services, Inc. | 3 | $649 |
| Aptis Medical, LLC | 1 | $234 |
| Stryker | 2 | $206 |
| Exsomed Corporation | 1 | $178 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $131 |
| Johnson & Johnson(2 entities) | 2 | $124 |
| Smith+Nephew | 2 | $111 |
| Checkpoint Surgical, Inc | 1 | $68 |
| Dilon Technologies, Inc. | 1 | $50 |
| Hydrocision, Inc. | 2 | $45 |
| Solventum Corporation | 1 | $17 |
| Zimmer Biomet | 1 | $13 |
| 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.
- ALLODERM$1,092
- STRATTICE$1,092
- AVANCE NERVE GRAFT$678
- INnate Implant$356
- INTEGRA DERMAL REGENERATION TEMPLATE$291
- INTEGRA$289
- Aptis DRUJ$234
- InFrame Implant$178
- ArrowPhix System$178
- ArcPhix System$178
- INTEGRA DUO$168
- INTEGRA PADGETT DERMATOMES$168
- RADIUS$162
- INTEGRA MESHED BILAYER WOUND MATRIX$147
- INTEGRA WOUND MATRIX (IWM)$147
- PRIMATRIX$147
- INTEGRA FLOWABLE WOUND MATRIX$147
- OMNIGRAFT$145
- SURGIMEND$145
- TENOGLIDE$143
How this compares
$5,612 in reported general payments places this provider in the 65th percentile of 26 surgery of the hand providers in Ohio.
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 |
|---|---|---|
| Meloxicam | 78 | $295 |
| Cefadroxil | 27 | $186 |
| Doxycycline Hyclate | 12 | $130 |
| Oxycodone Hcl | 39 | $116 |
| Methylprednisolone | 18 | $113 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $45 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $36 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Cleveland
- Kyle CheplaCleveland$163K
- Bram KaufmanCleveland$816
- Joseph KhouriBeachwood$137K
- Ryan SchmuckerColumbus$18K
- John BaileyColumbus$18K
- Eric JiangLiberty Township$17K
- Arminder KauraColumbus$14K
- Wen XuColumbus$13K
- Haiqiao JiaoAkron$11K
- Andrew ObrienColumbus$8K
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.