Joel Klena, MD
Surgery of the Hand · Danville, PANPI 1518926898
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Microaire Surgical Instruments LLC accounts for 95.4% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $22,422 and has fallen 90.8% since, to $2,072 in 2025. Among surgery of the hand clinicians in PA 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 90 payments — averaging $620.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microaire Surgical Instruments LLC$53K
- Stryker$1K
- Arthrex$572
- Medacta USA, Inc.$136
- Axogen$115
- Novus Surgical Solutions LLC$96
- plus $150 from 4 others
What the payments were for
- Consulting fees$31,46156%
- Speaking & faculty fees$16,10029%
- Travel & lodging$5,74310%
- Food & beverage$2,5595%
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 |
|---|---|---|
| Microaire Surgical Instruments LLC | 42 | $53,315 |
| Stryker(2 entities) | 29 | $1,478 |
| Arthrex | 10 | $572 |
| Medacta USA, Inc. | 1 | $136 |
| Axogen | 3 | $115 |
| Novus Surgical Solutions LLC | 1 | $96 |
| Acumed LLC | 1 | $62 |
| Skeletal Dynamics Inc | 1 | $55 |
| Sanara Medtech Inc. | 1 | $22 |
| Endo Pharmaceuticals Inc. | 1 | $11 |
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.
- SMART RELEASE$31,260
- ECTR$1,900
- MicroAire$800
- T2 ALPHA$164
- T2$138
- AMIStem H Femoral Stems$136
- AUGMENT$126
- PRO$108
- ADAPT$104
- MAKO$102
How this compares
$55,863 in reported general payments places this provider in the 95th percentile of 20 surgery of the hand providers in Pennsylvania.
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 |
|---|---|---|
| Methylprednisolone | 14 | $67 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Danville
- Robert KangPittsburgh$27K
- Jason YooPittsburgh$19K
- Nathan MillerAllentown$11K
- Scott EisenhuthState College$10K
- Alexander SpiessTrafford$7K
- Eugene ParkPhiladelphia$6K
- Dana LavantureSayre$5K
- Debra BournePittsburgh$4K
- Christopher LincoskiState College$3K
- George ZavitsanosFort Washington$2K
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.