RxDoctor Payments Data

Jonathan Liu, MD

Surgery of the Hand · Visalia, CANPI 1841376969

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $920 of the $1,190 with a category attached, or 77.3%. 6 manufacturers reported payments, led by Skeletal Dynamics Inc at 43.9% of the total. 2025 is the largest year on record at $538, more than ten times the $12 reported in 2019. That places this record below the midpoint for surgery of the hand clinicians in CA, where the typical reported total is $1,557.

$1,190in general payments, 2019–2025

Across 17 payments — averaging $70.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Skeletal Dynamics Inc$522
  • Axogen$459
  • Stryker$157
  • Sanofi-aventis U.S. LLC$24
  • Organogenesis Inc.$15
  • Sequoia Surgical, Inc.$12

What the payments were for

  • Travel & lodging$27023%
  • Food & beverage$92077%

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
22
23
24
25

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.

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

$1,190 in reported general payments places this provider in the 45th percentile of 76 surgery of the hand providers in California.

See all surgery of the hand providers in California

Medicare billing

Part B allowed, 2024
$578,338
Medicare patients
843
Services billed
3,968

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen160$1,288
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav175$981
Clindamycin Hcl15$60

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Visalia

See the full list for California

Where these figures come from

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