Margaret Jain, MD
Hand Surgery · Silverdale, WANPI 1730397019
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $211 of the $296 with a category attached, or 71.2%. 3 manufacturers reported payments, led by Polynovo North America LLC at 45.3% of the total. Reporting peaked in 2021 at $134 and has fallen 83.3% since, to $22 in 2022. That places this record below the midpoint for hand surgery clinicians in WA, where the typical reported total is $1,269.
Across 7 payments — averaging $42.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Polynovo North America LLC$134
- Endo Pharmaceuticals Inc.$124
- Orthofix Medical, Inc.$37
What the payments were for
- Food & beverage$21171%
- Education$8529%
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 |
|---|---|---|
| Polynovo North America LLC | 1 | $134 |
| Endo Pharmaceuticals Inc. | 4 | $124 |
| Orthofix Medical, Inc. | 2 | $37 |
How this compares
$296 in reported general payments places this provider in the 25th percentile of 75 hand surgery providers in Washington.
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 | 77 | $371 |
| Oxycodone Hcl | 15 | $78 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $74 |
| Tramadol Hcl | 11 | $36 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Silverdale
- Marijke DevosSilverdale$15K
- Thomas TrumbleBellevue$824K
- Jerry HuangSeattle$428K
- Mary ThayerBellevue$51K
- Chelsea BoeSeattle$32K
- Anthony LauderLongview$19K
- Julie RobertsFederal Way$19K
- Gregory ByrdOlympia$17K
- Chad TurnerSpokane Valley$17K
- Benjamin JacobsVancouver$16K
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.