Kunj Desai, MD
Surgery of the Hand · San Antonio, TXNPI 1174767495
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Axogen at 27.3% of the total.
Across 51 payments — averaging $119.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Medinc Of Texas$1K
- Mission Medical Distribution, LLC$971
- Checkpoint Surgical, Inc$380
- Acumed LLC$356
- Ensemble Orthopedics, Inc$302
- plus $1K from 15 others
What the payments were for
- Travel & lodging$1,84730%
- Food & beverage$3,02250%
- Education$1,20020%
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 |
|---|---|---|
| Axogen | 11 | $1,659 |
| Medinc Of Texas | 2 | $1,207 |
| Mission Medical Distribution, LLC | 7 | $971 |
| Checkpoint Surgical, Inc | 4 | $380 |
| Acumed LLC | 3 | $356 |
| Ensemble Orthopedics, Inc | 2 | $302 |
| Skeletal Dynamics Inc | 2 | $256 |
| Arthrex | 2 | $186 |
| Trice Medical, Inc. | 2 | $172 |
| Endo Pharmaceuticals Inc. | 3 | $150 |
| Access Pro Medical, LLC | 2 | $96 |
| Vertex | 2 | $59 |
| Johnson & Johnson | 1 | $43 |
| Ossur Americas, Inc. | 1 | $42 |
| Avita Medical Americas, LLC | 1 | $37 |
| Bioventus LLC | 1 | $32 |
| Endo USA, Inc. | 1 | $29 |
| Dilon Technologies, Inc. | 1 | $26 |
| Anika Therapeutics, Inc. | 1 | $23 |
| Alafair Biosciences, Inc. | 1 | $21 |
| Polynovo North America LLC | 1 | $20 |
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.
- AxoGuard Nerve Connector$1,208
- AxoGuard Nerve Protector$1,208
- Checkpoint Stimulators$281
- Ensemble CMC$277
- Geminus$256
- Align$256
- IJS$256
- Implate$256
- ACUMED$231
- AVANCE NERVE GRAFT$231
- INnate Implant$125
- InFrame Implant$125
- XIAFLEX$122
How this compares
$6,069 in reported general payments places this provider in the 70th percentile of 68 surgery of the hand providers in Texas.
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 | 47 | $285 |
| Methylprednisolone | 36 | $239 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 55 | $209 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 29 | $191 |
| Meloxicam | 24 | $84 |
| Cephalexin | 14 | $76 |
| Ibuprofen | 11 | $48 |
| Tramadol Hcl | 15 | $43 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in San Antonio
- Suresh KoneruSan Antonio$17K
- Michael JonesSan Antonio$9K
- Roberto MartinezSan Antonio$8K
- Lauren KarbachSan Antonio$7K
- Anthony MontanezSan Antonio$4K
- Woodward ColemanSan Antonio$3K
- Christian WoodburySan Antonio$2K
- Stephen DrukkerSan Antonio$424
- Desirae McKeeLubbock$59K
- Stuart HilliardDenton$21K
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.