Joshua Hustedt, MD
Hand Surgery · Phoenix, AZNPI 1124361373
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $76,450 of the $118,162 with a category attached, or 64.7%. Arthrex accounts for 77.3% of it on its own, with 19 other manufacturers making up the rest. 2025 is the largest year on record at $60,736, 9.8 times the $6,208 reported in 2019. Among hand surgery clinicians in AZ 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 168 payments — averaging $703.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$91K
- Pharmaceutical Business Consultants Limited$19K
- Impactortho, Inc.$3K
- Stryker$2K
- Goode Surgical Inc$2K
- Medartis Inc.$268
- plus $1K from 14 others
Across 9 payments — averaging $17,283 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.
- Arthrex$156K
What the payments were for
- Consulting fees$21,62518%
- Speaking & faculty fees$76,45065%
- Grants$2,5452%
- Travel & lodging$6,7096%
- Food & beverage$5,4215%
- Education$5,4135%
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 | 107 | $91,381 |
| Pharmaceutical Business Consultants Limited | 7 | $19,000 |
| Impactortho, Inc. | 17 | $2,661 |
| Stryker | 13 | $2,012 |
| Goode Surgical Inc | 2 | $1,719 |
| Medartis Inc. | 3 | $268 |
| Acumed LLC | 3 | $259 |
| Axogen | 2 | $223 |
| Skeletal Dynamics Inc | 1 | $127 |
| Zimmer Biomet | 1 | $123 |
| Trimed, Inc. | 1 | $73 |
| Captiox LLC | 1 | $50 |
| Biocircuit Technologies Inc | 1 | $50 |
| Bioventus LLC | 2 | $44 |
| Sonex Health, Inc. | 1 | $40 |
| Boston Scientific | 1 | $38 |
| KCI USA, Inc. | 2 | $33 |
| AbbVie | 1 | $29 |
| Nalu Medical, Inc. | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $15 |
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.
- MAKO$1,479
- AVANCE NERVE GRAFT$223
- NONE$164
- Geminus$127
- Align$127
- IJS$127
- Implate$127
- Comprehensive Shoulder System$123
- AxoGuard Nerve Connector$121
- AxoGuard Nerve Protector$121
- AXOGUARD HA+ NERVE PROTECTOR$121
- AxoGuard Nerve Cap$121
- ACUMED$121
- INnate Implant$121
- APTUS$113
How this compares
$118,162 in reported general payments places this provider in the 95th percentile of 60 hand surgery providers in Arizona.
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 |
|---|---|---|
| Meloxicam | 125 | $335 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $221 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Phoenix
- Philip ToPhoenix$97K
- Scott EdwardsPhoenix$39K
- Sean MitchellPhoenix$37K
- Mark LeberPhoenix$16K
- Garrison WhitakerPhoenix$9K
- Farhad DarbandiPhoenix$8K
- Robert BeckenbaughPhoenix$8K
- Justin WongPhoenix$4K
- Paul ZidelPhoenix$2K
- Vimala RamachandranPhoenix$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.