Josef Tofte
Hand Surgery · Madison, WINPI 1801215314
Payments from drug & device makers
What this record shows
This record is dominated by grants: $10,000 of the $16,409 with a category attached, or 60.9%. Arthrex accounts for 60.9% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $12,877 and has fallen 98.7% since, to $163 in 2025. Among hand surgery clinicians in WI 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 36 payments — averaging $455.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Axogen$2K
- Liberty Surgical Inc.$1K
- Great Lakes Orthopedics$1K
- Acumed LLC$774
- Integra Lifesciences Corporation$351
- plus $1K from 11 others
What the payments were for
- Grants$10,00061%
- Travel & lodging$1,0426%
- Food & beverage$2,77017%
- Education$2,59716%
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 |
|---|---|---|
| Arthrex | 1 | $10,000 |
| Axogen | 5 | $1,616 |
| Liberty Surgical Inc. | 2 | $1,397 |
| Great Lakes Orthopedics | 1 | $1,200 |
| Acumed LLC | 10 | $774 |
| Integra Lifesciences Corporation | 5 | $351 |
| Zimmer Biomet | 2 | $247 |
| Stryker | 1 | $163 |
| Globus Medical | 1 | $126 |
| Arthrosurface Incorporated | 1 | $125 |
| AbbVie | 1 | $100 |
| Skeletal Dynamics Inc | 1 | $88 |
| Johnson & Johnson | 1 | $65 |
| Medartis Inc. | 1 | $64 |
| Checkpoint Surgical, Inc | 1 | $41 |
| Exsomed Corporation | 1 | $38 |
| Endo Pharmaceuticals Inc. | 1 | $14 |
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.
- AxoGuard Nerve Protector$1,552
- AxoGuard Nerve Connector$1,552
- FREEDOM WRIST$298
- PYRO MCP$298
- TSSM - TOTAL SHOULDER SYSTEM METAL$298
- TITAN-SHOULDER$298
- External Fixation System$298
- Acu-Loc Wrist Plating System$254
- Acutrak Headless Compression Screw System$254
- VARIAX$163
- Hand Fracture System$144
- Elbow Plating System$136
- Anthem$126
- HemiCAP Wrist$125
- Alps Hand$125
- Alps Plates and Instruments$122
How this compares
$16,409 in reported general payments places this provider in the 95th percentile of 43 hand surgery providers in Wisconsin.
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 Madison
- Amorn SalyapongseMadison$1K
- Rebecca FunkMadison$1K
- Lisa KruseMadison$463
- Stefan ZacharyMadison$312
- Steven GrindelMilwaukee$21K
- Gonzalo BarinagaWauwatosa$16K
- Joanie ColumbiaGreen Bay$10K
- Frank WalterWisconsin Rapids$9K
- Anthony LogiudiceMilwaukee$9K
- Tierney GrosskopfAppleton$9K
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.