Hongshik Han, MD
Surgery of the Hand · Fresno, CANPI 1366529349
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.5% of the total across 76 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Axogen at 31.9% of the total. That places this record below the midpoint for surgery of the hand clinicians in CA, where the typical reported total is $1,557.
Across 76 payments — averaging $25.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$612
- Amgen$415
- Integra Lifesciences Corporation$192
- Kowa Pharmaceuticals America, Inc.$152
- Akcea Therapeutics, Inc.$117
- Sientra, Inc.$104
- plus $329 from 10 others
What the payments were for
- Food & beverage$1,83496%
- Other$864%
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 |
|---|---|---|
| Axogen | 16 | $612 |
| Amgen(2 entities) | 23 | $415 |
| Integra Lifesciences Corporation | 6 | $192 |
| Kowa Pharmaceuticals America, Inc. | 8 | $152 |
| Akcea Therapeutics, Inc. | 5 | $117 |
| Sientra, Inc. | 4 | $104 |
| Medline Industries LP | 1 | $61 |
| Stryker | 1 | $50 |
| Orthofix Medical, Inc. | 2 | $50 |
| Smith+Nephew | 3 | $38 |
| Endo Pharmaceuticals Inc. | 2 | $34 |
| Johnson & Johnson | 1 | $26 |
| Merz North America, Inc. | 1 | $21 |
| Organogenesis Inc. | 1 | $19 |
| Vertex | 1 | $17 |
| Trevena, Inc. | 1 | $14 |
How this compares
$1,920 in reported general payments places this provider in the 50th percentile of 76 surgery of the hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 242 | $1,979 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 57 | $696 |
| Methylprednisolone | 85 | $486 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 34 | $207 |
| Amoxicillin | 11 | $56 |
| Tramadol Hcl | 20 | $23 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Fresno
- Isobel SantosFresno$4K
- Ryan StehrFresno$3K
- Ricardo AvenaFresno$451
- Alexander MajorsFresno$426
- Randi GalliFresno$426
- Bauback SafaSan Francisco$172K
- Emily Perezla Mirada$56K
- Joshua GluckVentura$26K
- Howard SutkinLos Gatos$22K
- Aaron BergerOakland$14K
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.