Lucas Ohmes, MD
Surgery of the Hand · Houston, TXNPI 1053731042
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,715 of the $2,480 with a category attached, or 69.1%. 16 manufacturers reported payments, led by Arthrex at 40.2% of the total. Reporting peaked in 2024 at $1,599 and has fallen 63.1% since, to $590 in 2025. That places this record below the midpoint for surgery of the hand clinicians in TX, where the typical reported total is $2,480.
Across 38 payments — averaging $65.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$997
- Johnson & Johnson$273
- Stryker$172
- Musculoskeletal Transplant Foundation Inc.$167
- Tricoast Surgical Solutions LLC$166
- Endo USA, Inc.$121
- plus $585 from 10 others
What the payments were for
- Travel & lodging$76531%
- Food & beverage$1,71569%
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 |
|---|---|---|
| Arthrex | 18 | $997 |
| Johnson & Johnson | 2 | $273 |
| Stryker | 1 | $172 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $167 |
| Tricoast Surgical Solutions LLC | 3 | $166 |
| Endo USA, Inc. | 1 | $121 |
| Innovation Technologies Inc | 1 | $120 |
| Axogen | 2 | $117 |
| Empire Medical, Inc | 1 | $99 |
| Access Pro Medical, LLC | 1 | $68 |
| Smith+Nephew | 2 | $48 |
| Davol Inc. | 1 | $34 |
| Mimedx Group, Inc. | 1 | $31 |
| TELA Bio, Inc. | 1 | $29 |
| FX Shoulder Solutions, Inc | 1 | $26 |
| Acumed LLC | 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.
- NA$780
- VA-LCP$273
- VSP SYSTEM, VSP CRANIAL$172
- SMARTLOCK$172
- DYNAFORCE$133
- XIAFLEX$121
- Irrisept$120
- AVANCE NERVE GRAFT$102
- AxoGuard Nerve Connector$102
- AxoGuard Nerve Protector$102
- AXOGUARD HA+ NERVE PROTECTOR$102
- AxoGuard Nerve Cap$102
How this compares
$2,480 in reported general payments places this provider in the 50th 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.
Other surgery of the hand in Houston
- Matthew McCarleyHouston$8K
- Baher MaximosHouston$8K
- Fernando LevaroHouston$7K
- John KoshyHouston$2K
- Nicholas FioreHouston$1K
- David NetscherHouston$1K
- Jason AshfordHouston$827
- Jose NollaHouston$631
- Alfred MitchellHouston$540
- Carlton PerryHouston$353
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.