James Hjorth
Physician Assistant · Millsboro, DENPI 1578840658
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,600 of the $4,349 with a category attached, or 82.8%. Arthrex accounts for 64.0% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $4,279 and has fallen 99.1% since, to $37 in 2023. Among physician assistant clinicians in DE with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 17 payments — averaging $255.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Supreme Orthopedic Systems, LLC$1K
- Heron Therapeutics, Inc.$37
- Smith+Nephew$21
- Johnson & Johnson$20
- Medtronic$12
What the payments were for
- Travel & lodging$56513%
- Food & beverage$1844%
- Education$3,60083%
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 | 9 | $2,783 |
| Supreme Orthopedic Systems, LLC | 3 | $1,475 |
| Heron Therapeutics, Inc. | 2 | $37 |
| Smith+Nephew | 1 | $21 |
| Johnson & Johnson | 1 | $20 |
| Medtronic | 1 | $12 |
How this compares
$4,349 in reported general payments places this provider in the 95th percentile of 527 physician assistant providers in Delaware.
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 |
|---|---|---|
| Oxycodone Hcl | 45 | $254 |
| Clindamycin Hcl | 38 | $219 |
| Meloxicam | 31 | $193 |
| Cephalexin | 22 | $166 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $83 |
| Tramadol Hcl | 30 | $43 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Millsboro
- James LustDover$30K
- Jennifer RahnLewes$13K
- Drew VenablesLewes$12K
- Vi BanhNewark$12K
- Morgan PopovichLewes$12K
- Jason SaulWilmington$9K
- Alexandra KrochtaNewark$9K
- Paige VenablesMilford$8K
- Seth CallahanNewark$7K
- Nicole Wotus-SilvestriNewark$7K
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.