RxDoctor Payments Data

James McIntosh, MD

Hand Surgery · West Columbia, SCNPI 1902817836

Payments from drug & device makers

What this record shows

4 manufacturers reported payments, led by Peerless Surgical Inc. at 49.4% of the total. Reporting peaked in 2020 at $631 and has fallen 83.9% since, to $102 in 2025. That places this record below the midpoint for hand surgery clinicians in SC, where the typical reported total is $2,706.

$1,242in general payments, 2019–2025

Across 10 payments — averaging $124.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Peerless Surgical Inc.$614
  • Stryker$549
  • Abbott$59
  • Trimed, Inc.$20

What the payments were for

  • Food & beverage$65853%
  • Education$58447%

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

19
20
22
23
25

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.

CompanyPaymentsTotal
Peerless Surgical Inc.2$614
Stryker5$549
Abbott2$59
Trimed, Inc.1$20

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

$1,242 in reported general payments places this provider in the 30th percentile of 47 hand surgery providers in South Carolina.

See all hand surgery providers in South Carolina

Medicare billing

Part B allowed, 2024
$325,121
Medicare patients
729
Services billed
10,640

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

DrugClaimsCost to plans & patients
Naloxone Hcl78$4,749
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen168$1,344
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen106$1,105
Meloxicam278$668
Prednisone244$665
Tramadol Hcl86$406
Ibuprofen14$75
Cephalexin13$58

Paid to pharmacies, not to this prescriber.

Other hand surgery in West Columbia

See the full list for South Carolina

Where these figures come from

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