James Clarkson, MD
Surgery of the Hand · East Lansing, MINPI 1124275698
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,118 of the $1,306 with a category attached, or 85.6%. 11 manufacturers reported payments, led by Sonex Health, Inc. at 46.4% of the total. Reporting peaked in 2024 at $829 and has fallen 83.6% since, to $136 in 2025. That places this record below the midpoint for surgery of the hand clinicians in MI, where the typical reported total is $3,724.
Across 27 payments — averaging $48.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$606
- Kerecis Limited$242
- Smith+Nephew$109
- AbbVie$88
- Axogen$71
- Integra Lifesciences Corporation$52
- plus $137 from 5 others
What the payments were for
- Travel & lodging$18714%
- Food & beverage$1,11886%
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 |
|---|---|---|
| Sonex Health, Inc. | 4 | $606 |
| Kerecis Limited | 4 | $242 |
| Smith+Nephew | 5 | $109 |
| AbbVie | 3 | $88 |
| Axogen | 2 | $71 |
| Integra Lifesciences Corporation | 2 | $52 |
| Acera Surgical, Inc. | 2 | $49 |
| Medline Industries LP | 2 | $34 |
| Osiris Therapeutics Inc. | 1 | $21 |
| Orthofix Medical, Inc. | 1 | $18 |
| Endo USA, Inc. | 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.
How this compares
$1,306 in reported general payments places this provider in the 35th percentile of 41 surgery of the hand providers in Michigan.
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 | 12 | $28 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in East Lansing
- Abdalmajid KatranjiEast Lansing$7K
- William HuettnerEast Lansing$554
- Leslie WongGrand Rapids$185K
- Alberto AvilesWarren$22K
- Ara BushShelby Township$18K
- Emily AbbottWarren$14K
- Michael FitzsimmonsYpsilanti$13K
- Andrew TsaiDetroit$11K
- Caroline WurtzelChelsea$10K
- Edmund GradyWarren$9K
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.