Justin Kistler, MD
Hand Surgery · Bensalem, PANPI 1164833612
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,680 of the $9,410 with a category attached, or 60.4%. It is spread thinly across 24 manufacturers, the largest accounting for just 22.5%. Reporting peaked in 2019 at $4,916 and has fallen 88.5% since, to $564 in 2025.
Across 74 payments — averaging $127.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Liberty Surgical Inc.$2K
- Medical Device Business Services, Inc.$1K
- Smith+Nephew$781
- Acumed LLC$637
- Johnson & Johnson$419
- plus $3K from 18 others
What the payments were for
- Travel & lodging$2,07922%
- Food & beverage$5,68060%
- Education$1,65118%
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
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 |
|---|---|---|
| Axogen | 7 | $2,121 |
| Liberty Surgical Inc. | 2 | $1,651 |
| Medical Device Business Services, Inc. | 11 | $1,222 |
| Smith+Nephew | 11 | $781 |
| Acumed LLC | 5 | $637 |
| Johnson & Johnson | 9 | $419 |
| Globus Medical | 3 | $344 |
| Extremity Medical | 2 | $335 |
| Endo Pharmaceuticals Inc. | 3 | $245 |
| Zimmer Biomet | 2 | $229 |
| Alafair Biosciences, Inc. | 2 | $208 |
| Stryker | 4 | $184 |
| Biedermann Motech, Inc. | 1 | $175 |
| Trice Medical, Inc. | 1 | $167 |
| Paladin Technology Solutions | 2 | $150 |
| Skeletal Dynamics Inc | 1 | $150 |
| Integra Lifesciences Corporation | 1 | $145 |
| Biocircuit Technologies Inc | 1 | $81 |
| Medartis Inc. | 1 | $64 |
| Vertex | 1 | $35 |
| Fidia Pharma USA Inc. | 1 | $18 |
| Treace Medical Concepts, Inc. | 1 | $16 |
| Next Science LLC | 1 | $16 |
| Tenex Health Inc. | 1 | $16 |
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 Connector$1,894
- AxoGuard Nerve Protector$1,894
- VA-LCP PLATES & SCREWS$955
- ACUMED$576
- EVOS$435
- InFrame Implant$292
- IO FiX$252
- XIAFLEX$231
- Proximal Humerus Plating System$175
- Distal Radius Plating System 2.0$175
- Olecranon Plating System$175
- INnate Implant$169
- Distal Radius Plate$162
- Anthem$157
- Juggerknotless Soft Anchor$154
- Geminus$150
- Align$150
- IJS$150
- Implate$150
- FREEDOM WRIST$145
How this compares
$9,410 in reported general payments places this provider in the 65th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 116 | $359 |
| Oxycodone Hcl | 44 | $75 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $23 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Bensalem
- Michael RivlinBensalem$84K
- 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
- Richard TostiBryn Mawr$109K
- Sidney JacobyKing Of Prussia$105K
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.