Karlee Loftin, MD
Hand Surgery · Birmingham, ALNPI 1588007686
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (45.8%), education and food and beverage — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Trimed, Inc. at 43.7% of the total.
Across 36 payments — averaging $342.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$5K
- Prime Surgical, LLC$3K
- Acumed LLC$3K
- Skeletal Dynamics Inc$705
- Axogen$159
- Johnson & Johnson$123
- plus $499 from 10 others
What the payments were for
- Speaking & faculty fees$1,50012%
- Travel & lodging$5,64546%
- Food & beverage$2,40319%
- Education$2,78523%
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. | 8 | $5,388 |
| Prime Surgical, LLC | 3 | $2,831 |
| Acumed LLC | 7 | $2,630 |
| Skeletal Dynamics Inc | 3 | $705 |
| Axogen | 1 | $159 |
| Johnson & Johnson | 1 | $123 |
| Arthrex | 1 | $108 |
| Osteomed LLC | 1 | $88 |
| Zimmer Biomet | 1 | $72 |
| Endo Pharmaceuticals Inc. | 3 | $58 |
| Endo USA, Inc. | 2 | $46 |
| Exsomed Corporation | 1 | $36 |
| Bioventus LLC | 1 | $36 |
| ERMI LLC | 1 | $23 |
| Orthofix Medical, Inc. | 1 | $18 |
| Sonex Health, Inc. | 1 | $13 |
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.
- ACUMED$5,735
- Tools - WFS$3,471
- Acu-Loc Wrist Plating System$1,425
- Elbow Plating System$1,425
- Polarus 3 Solution$768
- Total Wrist Fusion Plating System$657
- Anatomic Radial Head System$657
- Acutrak Headless Compression Screw System$657
- Geminus$555
- Align$555
- IJS$555
- Implate$555
- VA-LCP PLATES & SCREWS$123
- DISTAL EXTREMITIES IMPLANTS HAND & WRIST DISTAL RADIUS$108
How this compares
$12,334 in reported general payments places this provider in the 85th percentile of 29 hand surgery providers in Alabama.
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 |
|---|---|---|
| Oxycodone Hcl | 50 | $156 |
| Tramadol Hcl | 33 | $82 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Birmingham
- Kathleen McKeonBirmingham$151K
- Christopher BeaumontBirmingham$18K
- Ekkehard BonatzBirmingham$5K
- Joseph IngramBirmingham$4K
- Kathryn BentleyBirmingham$4K
- Erin RansomBirmingham$1K
- Hussein TurkiMontgomery$35K
- Thomas SellersMontgomery$10K
- Jared BurkettMobile$8K
- Allison HunterDaphne$8K
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.