RxDoctor Payments Data

Michael Larsen, MD

Surgery of the Hand · Phoenix, AZNPI 1891040440

Payments from drug & device makers

What this record shows

This record is dominated by education: $1,200 of the $1,874 with a category attached, or 64.0%. Impactortho, Inc. accounts for 66.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $1,380 and has fallen 97.1% since, to $40 in 2025.

$1,874in general payments, 2019–2025

Across 12 payments — averaging $156.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Impactortho, Inc.$1K
  • Acumed LLC$149
  • Axogen$105
  • Checkpoint Surgical, Inc$101
  • Integra Lifesciences Corporation$99
  • Medartis Inc.$98
  • plus $72 from 4 others

What the payments were for

  • Food & beverage$67436%
  • Education$1,20064%

General payments by program year

19
21
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

Too few surgery of the hand providers in Arizonato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$134,106
Medicare patients
156
Services billed
719

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
Gabapentin21$228
Cephalexin11$83
Ibuprofen12$62

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Phoenix

See the full list for Arizona

Where these figures come from

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