Karen Hand, MD
Orthopaedic Trauma · Birmingham, ALNPI 1396964623
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.1%), education and food and beverage — rather than concentrated in one kind of arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 23.6%. Reporting peaked in 2020 at $5,281 and has fallen 98.0% since, to $106 in 2025.
Across 70 payments — averaging $164.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Prime Surgical, LLC$3K
- Trimed, Inc.$2K
- Arthrex$2K
- Medical Device Business Services, Inc.$1K
- Axogen$952
- Ensemble Orthopedics, Inc$832
- plus $1K from 15 others
What the payments were for
- Travel & lodging$4,38838%
- Food & beverage$3,21028%
- Education$3,91934%
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 |
|---|---|---|
| Prime Surgical, LLC | 1 | $2,719 |
| Trimed, Inc. | 7 | $2,431 |
| Arthrex | 9 | $1,691 |
| Medical Device Business Services, Inc. | 11 | $1,456 |
| Axogen | 2 | $952 |
| Ensemble Orthopedics, Inc | 7 | $832 |
| ALON Medical Technology | 5 | $727 |
| Johnson & Johnson | 1 | $123 |
| Endo USA, Inc. | 4 | $114 |
| Orthofix Medical, Inc. | 3 | $104 |
| Endo Pharmaceuticals Inc. | 6 | $96 |
| Bioventus LLC | 3 | $73 |
| Skeletal Dynamics Inc | 2 | $44 |
| Vertex | 2 | $32 |
| DJO, LLC | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $20 |
| Sonex Health, Inc. | 1 | $15 |
| Acumed LLC | 1 | $15 |
| Medtronic | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
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.
How this compares
Too few orthopaedic trauma providers in Alabamato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $67 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Birmingham
- Clay SpitlerBirmingham$85K
- Michael HoneycuttHuntsville$11K
- David GriffinHuntsville$3K
- Parker WhiteMobile$3K
- Jason CobbSelma$2K
- Sudhakar MadanagopalHuntsville$2K
- Robert MaplesHuntsville$1K
- Sean OwenOpp$1K
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.