Jefrey Fishman, MD
Surgery of the Hand · Troy, MINPI 1144238593
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 101 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 16.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,488, 3.0 times the $499 reported in 2019.
Across 101 payments — averaging $45.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$769
- Integra Lifesciences Corporation$497
- Axogen$453
- Polynovo North America LLC$339
- Mentor Worldwide LLC$314
- Kerecis Limited$311
- plus $2K from 14 others
What the payments were for
- Food & beverage$4,576100%
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 |
|---|---|---|
| AbbVie(2 entities) | 34 | $769 |
| Integra Lifesciences Corporation | 8 | $497 |
| Axogen | 4 | $453 |
| Polynovo North America LLC | 7 | $339 |
| Mentor Worldwide LLC | 8 | $314 |
| Kerecis Limited | 3 | $311 |
| Sientra, Inc. | 3 | $305 |
| Johnson & Johnson | 4 | $256 |
| Revance Therapeutics, Inc. | 4 | $187 |
| Solventum Corporation | 2 | $171 |
| Stryker | 2 | $151 |
| Medtronic | 3 | $138 |
| Galderma Laboratories, L.p. | 7 | $121 |
| Acell, Inc. | 1 | $113 |
| Bard Peripheral Vascular, Inc. | 1 | $112 |
| TELA Bio, Inc. | 2 | $99 |
| Kls-martin L.p. | 3 | $90 |
| Avita Medical Americas, LLC | 2 | $86 |
| Baxter Healthcare | 2 | $45 |
| Mimedx Group, 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.
- Kerecis SurgiClose$1,204
- INTEGRA$782
- Kerecis GraftGuide$301
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$276
- AxoGuard Nerve Connector$266
- AxoGuard Nerve Protector$266
- INTEGRA DERMAL REGENERATION TEMPLATE$261
- PRIMATRIX$261
- NATRELLE SALINE-FILLED BREAST IMPLANTS$147
- Novosorb BTM$141
- AVANCE NERVE GRAFT$135
- 1588 HD 3 CHIP CAMERA$125
- TRUMATCH$124
- ARTOURA Breast Tissue Expander$108
How this compares
$4,576 in reported general payments places this provider in the 60th 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 |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 15 | $98 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Troy
- 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
- Marek HansdorferTraverse City$8K
- Edward HaassDearborn$8K
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.