Matthew Geswell, MD
Sports Medicine · Lancaster, SCNPI 1972980092
Payments from drug & device makers
What this record shows
This record is dominated by education: $17,150 of the $22,512 with a category attached, or 76.2%. Peerless Surgical Inc. accounts for 60.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $16,216 and has fallen 97.0% since, to $487 in 2025.
Across 88 payments — averaging $255.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Peerless Surgical Inc.$14K
- Smith+Nephew$5K
- Arthrex$2K
- Zimmer Biomet$409
- Acumed LLC$337
- Gotham Surgical Solutions & Devices, Inc.$274
- plus $535 from 4 others
What the payments were for
- Travel & lodging$1,5257%
- Food & beverage$3,83717%
- Education$17,15076%
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 |
|---|---|---|
| Peerless Surgical Inc. | 48 | $13,542 |
| Smith+Nephew | 1 | $5,000 |
| Arthrex | 26 | $2,415 |
| Zimmer Biomet | 3 | $409 |
| Acumed LLC | 3 | $337 |
| Gotham Surgical Solutions & Devices, Inc. | 2 | $274 |
| Johnson & Johnson | 2 | $242 |
| Davol Inc. | 1 | $140 |
| Skeletal Dynamics Inc | 1 | $133 |
| Boston Scientific | 1 | $21 |
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$234
- Anatomic Radial Head System$145
- mymobility Platform$143
- ROSA$141
- ARISTA AH FLEXITIP$140
- Geminus$133
- Align$133
- IJS$133
- Implate$133
- Acutrak Headless Compression Screw System$130
- DYNACORD$125
- HEALIX KNOTLESS PEEK$125
- TRUESPAN ORTHOCORD$125
- RIGIDLOOP$125
How this compares
$22,512 in reported general payments places this provider in the 85th percentile of 158 sports medicine 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 |
|---|---|---|
| Diclofenac Sodium | 31 | $430 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $293 |
| Methylprednisolone | 42 | $292 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $144 |
| Meloxicam | 46 | $111 |
| Oxycodone Hcl | 20 | $89 |
| Cephalexin | 17 | $89 |
| Tramadol Hcl | 18 | $53 |
| Cyclobenzaprine Hcl | 13 | $50 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Lancaster
- Silas HolmesColumbia$2.2M
- Stephan PillGreenville$688K
- Steven MartinSeneca$356K
- Stefan TolanGreenville$280K
- Michael KissenberthGreenville$172K
- Guillaume DumontWest Columbia$146K
- Douglas WylandSpartanburg$124K
- Jeffrey GuyColumbia$120K
- Harris SloneCharleston$72K
- Donovan JohnsonConway$56K
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.