John Ingari, MD
Hand Surgery · York, PANPI 1396765517
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (45.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Trimed, Inc. at 49.0% of the total. Reporting peaked in 2019 at $8,844 and has fallen 85.7% since, to $1,265 in 2025.
Across 69 payments — averaging $366.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$12K
- Globus Medical$6K
- Supreme Orthopedic Systems, LLC$3K
- Akcea Therapeutics, Inc.$2K
- Stryker$586
- Bioventus LLC$273
- plus $1K from 7 others
Across 2 payments — averaging $1000.00 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.
- Axogen$2K
What the payments were for
- Consulting fees$1,5006%
- Speaking & faculty fees$11,42545%
- Travel & lodging$4,81819%
- Food & beverage$4,97920%
- Education$2,57710%
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 |
|---|---|---|
| Trimed, Inc. | 31 | $12,386 |
| Globus Medical | 4 | $6,330 |
| Supreme Orthopedic Systems, LLC | 7 | $2,604 |
| Akcea Therapeutics, Inc. | 1 | $2,000 |
| Stryker | 9 | $586 |
| Bioventus LLC | 3 | $273 |
| Johnson & Johnson(2 entities) | 3 | $257 |
| Smith+Nephew | 2 | $201 |
| Zimmer Biomet | 1 | $198 |
| Endo USA, Inc. | 2 | $166 |
| Endo Pharmaceuticals Inc. | 2 | $141 |
| Acumed LLC | 2 | $119 |
| Vertex | 2 | $37 |
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.
- Small Frag Plate$6,175
- TEGSEDI$2,000
- Tools - WFS$1,772
- Tools - AFS$935
- XIAFLEX$267
- Exogen Ultrasound Bone Healing System$255
- Comprehensive Shoulder System$198
- CONEXTIONS TR TENDON REPAIR SYSTEM-IMPLANT MECHANISM$196
- STRATAFIX$154
- VISTASEAL$154
- ETHICON$154
- AEQUALIS PERFORM REVERSED$134
- COALITION AGX / AGX RP$131
- CREO S2AI$131
- CREO ONE Robotic Screw$131
- MARS 3V/3VL$131
- TRIGEN InterTAN$115
- EVOS$115
- Panta 2$115
- Ascension$115
How this compares
$25,298 in reported general payments places this provider in the 85th percentile of 110 hand surgery 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.
Other hand surgery in York
- Clayton AlexanderYork$13K
- Jovito AngelesYork$9K
- Richard TrevinoYork$5K
- Thomas GrahamAllentown$1.4M
- Randall CulpPlains$358K
- Asif IlyasBryn Mawr$295K
- Arthur OstermanKing Of Prussia$198K
- Meredith OstermanKing Of Prussia$196K
- Adam StrohlPhiladelphia$175K
- Mark BaratzPittsburgh$112K
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.