Karan Dua, MD
Surgery of the Hand · New York, NYNPI 1669834529
Payments from drug & device makers
What this record shows
This record is dominated by education: $30,990 of the $48,628 with a category attached, or 63.7%. 12 manufacturers reported payments, led by Smith+Nephew at 57.8% of the total. Reporting peaked in 2022 at $20,914 and has fallen 81.4% since, to $3,889 in 2025. Among surgery of the hand clinicians in NY 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 134 payments — averaging $362.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$28K
- Acumed LLC$6K
- Arthrex$5K
- Encore Medical, LP$3K
- Stryker$3K
- Medwest Associates$1K
- plus $2K from 6 others
What the payments were for
- Speaking & faculty fees$1,5003%
- Travel & lodging$8,43417%
- Food & beverage$7,70416%
- Education$30,99064%
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 |
|---|---|---|
| Smith+Nephew | 11 | $28,108 |
| Acumed LLC | 62 | $5,946 |
| Arthrex | 18 | $5,459 |
| Encore Medical, LP | 8 | $3,225 |
| Stryker | 15 | $2,580 |
| Medwest Associates | 3 | $1,343 |
| Zimmer Biomet | 6 | $843 |
| Johnson & Johnson | 5 | $480 |
| Skeletal Dynamics Inc | 2 | $248 |
| Axogen | 2 | $216 |
| Integra Lifesciences Corporation | 1 | $165 |
| Gotham Surgical Solutions & Devices, 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.
- DJO SURGICAL$5,961
- ACUMED$2,733
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$1,925
- Hand Fracture System$1,624
- Osteotomy System$1,492
- INnate Implant$1,247
- LOQTEQ$1,080
- First Choice DRUJ System$1,080
- Arc Wrist Tower$839
- Total Wrist Fusion Plating System$839
- Acutrak Headless Compression Screw System$839
- Acu-Loc Wrist Plating System$784
- MODULAR HAND SYSTEM$784
- Ascension$649
- INTEGRA$494
- Comprehensive Reverse$426
- InFrame Implant$405
- ROSA$276
- VA-LCP$253
- Geminus$248
How this compares
$48,628 in reported general payments places this provider in the 90th percentile of 40 surgery of the hand providers in New York.
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 |
|---|---|---|
| Diclofenac Sodium | 11 | $343 |
| Meloxicam | 104 | $178 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in New York
- Melvin RosenwasserNew York$613K
- Sheel SharmaNew York$9K
- Amy BirnbaumNew York$5K
- Robert StrauchNew York$3K
- Abidemi AdenikinjuNew York$3K
- Rajendra KadiyalaNew York$2K
- David ChiuNew York$2K
- Glenn BeckerNew York$868
- Ignatius RogerNew York$601
- Steven FernNew York$516
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.