Karly Lorbeer, MD
Hand Surgery · Silver Spring, MDNPI 1982139036
Payments from drug & device makers
What this record shows
This record is dominated by grants: $10,000 of the $13,031 with a category attached, or 76.7%. Arthrex accounts for 76.7% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $10,000 and has fallen 79.1% since, to $2,090 in 2025. Among hand surgery clinicians in MD 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 24 payments — averaging $542.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Acumed LLC$1K
- Supreme Orthopedic Systems, LLC$606
- Stryker$386
- Johnson & Johnson$141
- Axogen$125
- plus $584 from 8 others
What the payments were for
- Grants$10,00077%
- Travel & lodging$1,1129%
- Food & beverage$1,91815%
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 |
|---|---|---|
| Arthrex | 1 | $10,000 |
| Acumed LLC | 2 | $1,189 |
| Supreme Orthopedic Systems, LLC | 4 | $606 |
| Stryker | 5 | $386 |
| Johnson & Johnson | 1 | $141 |
| Axogen | 1 | $125 |
| Sanara Medtech Inc. | 1 | $121 |
| Bioventus LLC | 1 | $116 |
| Microaire Surgical Instruments LLC | 1 | $77 |
| Medartis Inc. | 1 | $72 |
| Checkpoint Surgical, Inc | 1 | $72 |
| Zimmer Biomet | 2 | $67 |
| Pacira Pharmaceuticals Incorporated | 2 | $42 |
| Smith+Nephew | 1 | $17 |
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$1,112
- HOFFMANN$195
- DERMABOND$141
- STRATAFIX$141
- Echelon Flex$141
- Harmonic$141
- AVANCE NERVE GRAFT$125
- AxoGuard Nerve Connector$125
- AxoGuard Nerve Protector$125
- AXOGUARD HA+ NERVE PROTECTOR$125
- AxoGuard Nerve Cap$125
- CellerateRx$121
- Exogen Ultrasound Bone Healing System$116
How this compares
$13,031 in reported general payments places this provider in the 90th percentile of 54 hand surgery providers in Maryland.
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.
Other hand surgery in Silver Spring
- Khurram PervaizCatonsville$26K
- Sunjay BerdiaRockville$24K
- Duc NguyenBaltimore$18K
- Christopher ForthmanLutherville$12K
- Harrison SolomonChevy Chase$10K
- Robert WilsonHyattsville$10K
- Marvin DingleBethesda$7K
- Mustafa HaqueBethesda$7K
- Leo RozmarynRockville$7K
- Gary ShermanHagerstown$5K
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.