Karan Desai, MD
Surgery of the Hand · Winter Garden, FLNPI 1861781239
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (28.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Trimed, Inc. at 59.5% of the total. 2025 is the largest year on record at $17,024, more than ten times the $609 reported in 2019. Among surgery of the hand clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 149 payments — averaging $263.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$23K
- Checkpoint Surgical, Inc$8K
- Arthrex$3K
- Reel Surgical, Inc.$2K
- Axogen$575
- Integra Lifesciences Corporation$484
- plus $1K from 21 others
What the payments were for
- Consulting fees$5,00013%
- Speaking & faculty fees$11,20029%
- Travel & lodging$10,95128%
- Food & beverage$7,51819%
- Education$4,59512%
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. | 54 | $23,350 |
| Checkpoint Surgical, Inc | 21 | $8,028 |
| Arthrex | 10 | $3,069 |
| Reel Surgical, Inc. | 7 | $2,361 |
| Axogen | 14 | $575 |
| Integra Lifesciences Corporation | 9 | $484 |
| Polynovo North America LLC | 2 | $173 |
| TEI Biosciences Inc | 2 | $170 |
| Endo Pharmaceuticals Inc. | 2 | $128 |
| Smith+Nephew | 5 | $114 |
| Stryker | 2 | $112 |
| Renerve Ltd | 1 | $107 |
| Zimmer Biomet | 1 | $84 |
| Johnson & Johnson(2 entities) | 3 | $69 |
| Kerecis Limited | 3 | $66 |
| Linvatec Corporation | 1 | $65 |
| Trice Medical, Inc. | 1 | $50 |
| Acumed LLC | 1 | $48 |
| US Implant Solutions, LLC | 1 | $35 |
| Mentor Worldwide LLC | 1 | $35 |
| Medartis Inc. | 2 | $32 |
| Acera Surgical, Inc. | 1 | $29 |
| Acell, Inc. | 1 | $23 |
| Mimedx Group, Inc. | 1 | $15 |
| Bioventus LLC | 1 | $15 |
| Orthocell LTD | 1 | $14 |
| Sonex Health, Inc. | 1 | $11 |
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.
- Tools - WFS$11,146
- Checkpoint Stimulators$7,802
- Tools - AFS$826
- INTEGRA$484
- Tools - WS3$316
- AVANCE NERVE GRAFT$197
- INTEGRA DERMAL REGENERATION TEMPLATE$161
- PRIMATRIX$161
- Novosorb BTM$152
- SURGIMEND$136
- AxoGuard Nerve Protector$126
- AxoGuard Nerve Connector$126
- XIAFLEX$111
- NervAlign Nerve Cuff$107
How this compares
$39,264 in reported general payments places this provider in the 90th percentile of 60 surgery of the hand providers in Florida.
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 | 52 | $141 |
| Oxycodone Hcl | 14 | $30 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Winter Garden
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
- David HalpernTampa$19K
- Jacob JabbourMiami$16K
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.