Keith Santiago, MD
Hand Surgery · North Charleston, SCNPI 1740437052
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 15.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $607, 9.0 times the $68 reported in 2019. That places this record below the midpoint for hand surgery clinicians in SC, where the typical reported total is $2,706.
Across 49 payments — averaging $50.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$369
- Axogen$343
- Endo Pharmaceuticals Inc.$254
- Endo USA, Inc.$222
- Sonex Health, Inc.$202
- Integra Lifesciences Corporation$152
- plus $923 from 16 others
What the payments were for
- Food & beverage$2,464100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Kerecis Limited | 3 | $369 |
| Axogen | 4 | $343 |
| Endo Pharmaceuticals Inc. | 2 | $254 |
| Endo USA, Inc. | 3 | $222 |
| Sonex Health, Inc. | 4 | $202 |
| Integra Lifesciences Corporation | 2 | $152 |
| Acumed LLC | 3 | $151 |
| Smith+Nephew | 1 | $149 |
| Peerless Surgical Inc. | 5 | $146 |
| Fidia Pharma USA Inc. | 1 | $71 |
| Exsomed Corporation | 1 | $64 |
| Abbott | 4 | $61 |
| Stryker | 3 | $58 |
| Amgen | 3 | $45 |
| Ferring Pharmaceuticals Inc. | 2 | $39 |
| Vertex | 1 | $28 |
| Medtronic | 2 | $27 |
| Arthrosurface Incorporated | 1 | $23 |
| Pacira Therapeutics, Inc. | 1 | $20 |
| Lifenet Health | 1 | $17 |
| Access Pro Medical, LLC | 1 | $15 |
| Zyla Life Sciences, 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.
- Kerecis SurgiClose$1,035
- XIAFLEX$364
- Kerecis Omega3 SurgiClose$331
- Kerecis GraftGuide$259
- AVANCE NERVE GRAFT$244
- GRAFIX PL$149
- Oasis$149
- Stravix$149
- Sx-One Microknife$135
- OsteoMed$113
- INnate Implant$113
- NanoPhix Implant$113
- Kerecis Omega3 GraftGuide$110
- Kerecis Omega3 Marigen$110
How this compares
$2,464 in reported general payments places this provider in the 40th percentile of 47 hand surgery providers in South Carolina.
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 |
|---|---|---|
| Naloxone Hcl | 58 | $3,542 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 114 | $402 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in North Charleston
- Daniel WartinbeeNorth Charleston$3K
- Francis OwingsNorth Charleston$2K
- Jon DevriesNorth Charleston$2K
- Dane DaleyCharleston$137K
- James PriceMt Pleasant$24K
- Jason DickherberSpartanburg$18K
- Shea RayGreenville$13K
- Sonya ClarkSpartanburg$12K
- Seth BowmanColumbia$12K
- Erica UmpierrezConway$11K
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.