RxDoctor Payments Data

John Ernst, MD

Hand Surgery · Charleston, SCNPI 1619902905

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Integra Lifesciences Corporation at 37.8% of the total. Reporting peaked in 2019 at $232 and has fallen 75.6% since, to $57 in 2024. That places this record below the midpoint for hand surgery clinicians in SC, where the typical reported total is $2,706.

$614in general payments, 2019–2025

Across 12 payments — averaging $51.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Integra Lifesciences Corporation$232
  • Axogen$125
  • Ferring Pharmaceuticals Inc.$104
  • Exsomed Corporation$64
  • Johnson & Johnson$46
  • Endo USA, Inc.$22
  • plus $21 from 1 others

What the payments were for

  • Food & beverage$614100%

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
21
22
23
24

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
Integra Lifesciences Corporation2$232
Axogen1$125
Ferring Pharmaceuticals Inc.4$104
Exsomed Corporation1$64
Johnson & Johnson(2 entities)2$46
Endo USA, Inc.1$22
ERMI LLC1$21

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

$614 in reported general payments places this provider in the 25th percentile of 47 hand surgery providers in South Carolina.

See all hand surgery providers in South Carolina

Medicare billing

Part B allowed, 2024
$101,792
Medicare patients
235
Services billed
4,335

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen36$168

Paid to pharmacies, not to this prescriber.

Other hand surgery in Charleston

See the full list for South Carolina

Where these figures come from

Is this you, or does something look wrong? →