Ira Richterman, MD
Hand Surgery · Canton, OHNPI 1215008610
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Rock Medical Orthopedics, Inc. at 50.1% of the total. Reporting peaked in 2019 at $896 and has fallen 76.6% since, to $210 in 2025. That places this record below the midpoint for hand surgery clinicians in OH, where the typical reported total is $2,190.
Across 19 payments — averaging $94.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rock Medical Orthopedics, Inc.$896
- Stryker$574
- Acumed LLC$185
- Paragon 28, Inc.$84
- Johnson & Johnson$27
- Zimmer Biomet$23
What the payments were for
- Travel & lodging$1679%
- Food & beverage$1,02257%
- Education$60134%
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 |
|---|---|---|
| Rock Medical Orthopedics, Inc. | 4 | $896 |
| Stryker | 9 | $574 |
| Acumed LLC | 2 | $185 |
| Paragon 28, Inc. | 1 | $84 |
| Johnson & Johnson | 2 | $27 |
| Zimmer Biomet | 1 | $23 |
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
$1,790 in reported general payments places this provider in the 45th percentile of 88 hand surgery 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 449 | $2,132 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 33 | $172 |
| Prednisone | 29 | $90 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Canton
- Christopher GibbsCanton$18K
- Gerald KlimoCanton$3K
- Mollie ManleyAkron$540K
- Harry HoyenCleveland$330K
- Joseph StyronCleveland$197K
- H Brent BambergerDayton$100K
- Youssra MarjouaCleveland$93K
- Raymond WurapaGahanna$74K
- Amy SpeeckaertColumbus$61K
- Patrick MesserschmittCincinnati$58K
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.