RxDoctor Payments Data

Matthew Shillito, MD

Hand Surgery · San Diego, CANPI 1538318548

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (47.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Arthrex at 41.3% of the total. Reporting peaked in 2022 at $3,496 and has fallen 81.9% since, to $635 in 2025.

$8,220in general payments, 2019–2025

Across 68 payments — averaging $120.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$3K
  • Acumed LLC$2K
  • Elevate Surgical Co$1K
  • Skeletal Dynamics Inc$729
  • Endo Pharmaceuticals Inc.$324
  • Zimmer Biomet$149
  • plus $781 from 12 others

What the payments were for

  • Travel & lodging$1,88323%
  • Food & beverage$3,93748%
  • Education$2,40029%

General payments by program year

20
21
22
23
24
25

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.

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.

How this compares

$8,220 in reported general payments places this provider in the 70th percentile of 249 hand surgery providers in California.

See all hand surgery providers in California →

Medicare billing

Part B allowed, 2024
$73,627
Medicare patients
122
Services billed
842

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen21$148

Paid to pharmacies, not to this prescriber.

Other hand surgery in San Diego

See the full list for California →

Where these figures come from

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