Holden Heitner, MD
Hand Surgery · Temple Terrace, FLNPI 1407276504
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 61.7% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2021 at $5,356 and has fallen 85.2% since, to $794 in 2025.
Across 78 payments — averaging $91.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Stryker$626
- Coastal Medical Technologies LLC$353
- Smith+Nephew$330
- MVP Orthopedics Inc$329
- Axogen$258
- plus $843 from 15 others
What the payments were for
- Travel & lodging$4286%
- Food & beverage$2,99342%
- Education$3,60050%
- Entertainment$1222%
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 | 18 | $4,406 |
| Stryker | 10 | $626 |
| Coastal Medical Technologies LLC | 8 | $353 |
| Smith+Nephew | 8 | $330 |
| MVP Orthopedics Inc | 12 | $329 |
| Axogen | 3 | $258 |
| Zimmer Biomet | 2 | $181 |
| Trimed, Inc. | 1 | $122 |
| Endo Pharmaceuticals Inc. | 1 | $97 |
| Acumed LLC | 3 | $89 |
| ERMI LLC | 1 | $75 |
| Johnson & Johnson(2 entities) | 2 | $51 |
| Biocircuit Technologies Inc | 1 | $43 |
| Integra Lifesciences Corporation | 1 | $34 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| Trice Medical, Inc. | 1 | $23 |
| Anika Therapeutics, Inc. | 1 | $23 |
| Bioventus LLC | 1 | $23 |
| Orthofix Medical, Inc. | 1 | $22 |
| Checkpoint Surgical, Inc | 1 | $18 |
| Kerecis Limited | 1 | $17 |
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.
- AVANCE NERVE GRAFT$235
- EVOS SMALL$198
- VARIAX$163
- BIO4$163
- REUNION$163
- MAKO$150
- Comprehensive Shoulder System$142
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE MTP$121
How this compares
$7,144 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Celecoxib | 49 | $1,932 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 203 | $1,059 |
| Gabapentin | 80 | $613 |
| Methylprednisolone | 77 | $595 |
| Diclofenac Sodium | 11 | $365 |
| Meloxicam | 65 | $196 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $169 |
| Ibuprofen | 15 | $158 |
| Doxycycline Hyclate | 12 | $135 |
| Tramadol Hcl | 28 | $107 |
| Oxycodone Hcl | 25 | $63 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Temple Terrace
- 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
- Philipp StreubelWeston$81K
- Roy CardosoCoral Gables$79K
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.