James Vahey, MD
Hand Surgery · Las Vegas, NVNPI 1407874035
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Sonex Health, Inc. at 28.0% of the total.
Across 84 payments — averaging $94.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$2K
- Goode Surgical Inc$2K
- Trimed, Inc.$2K
- Endo Pharmaceuticals Inc.$484
- Axogen$217
- Endo USA, Inc.$205
- plus $468 from 14 others
Across 1 payment — averaging $80,227 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sonex Health, Inc.$80K
What the payments were for
- Travel & lodging$2,32429%
- Food & beverage$3,65046%
- Education$1,98325%
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. | 18 | $2,231 |
| Goode Surgical Inc | 9 | $2,183 |
| Trimed, Inc. | 8 | $2,169 |
| Endo Pharmaceuticals Inc. | 20 | $484 |
| Axogen | 7 | $217 |
| Endo USA, Inc. | 5 | $205 |
| Zimmer Biomet | 1 | $62 |
| Smith+Nephew | 1 | $55 |
| Amgen(2 entities) | 2 | $54 |
| Avita Medical Americas, LLC | 1 | $49 |
| Arthrosurface Incorporated | 1 | $39 |
| Acera Surgical, Inc. | 1 | $36 |
| Orthofix Medical, Inc. | 2 | $34 |
| Integra Lifesciences Corporation | 2 | $34 |
| Bsn Medical Inc | 1 | $26 |
| Forte Bio-pharma LLC | 1 | $23 |
| Anika Therapeutics, Inc. | 1 | $17 |
| Exsomed Corporation | 1 | $15 |
| Bioventus LLC | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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.
- Sx-One Microknife$1,982
- Tools - WFS$1,646
- XIAFLEX$362
How this compares
$7,958 in reported general payments places this provider in the 75th percentile of 24 hand surgery providers in Nevada.
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 |
|---|---|---|
| Meloxicam | 58 | $105 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $71 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Las Vegas
- Alan MicevLas Vegas$53K
- Jonathan SorelleLas Vegas$7K
- Ajit AmesurLas Vegas$7K
- Michael LeeLas Vegas$6K
- Braden MattisonLas Vegas$6K
- Olivia WangLas Vegas$5K
- George GluckLas Vegas$1K
- Arthur TaylorLas Vegas$995
- Walter SongLas Vegas$883
- Conrad YuLas Vegas$171
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.