Michael Palmer, MD
Hand Surgery · Greenville, SCNPI 1538175062
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (49.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Peerless Surgical Inc. at 52.1% of the total. Reporting peaked in 2021 at $3,536 and has fallen 96.2% since, to $133 in 2025.
Across 33 payments — averaging $222.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Peerless Surgical Inc.$4K
- Anika Therapeutics, Inc.$2K
- Skeletal Dynamics Inc$1K
- Acumed LLC$456
- Endo USA, Inc.$137
- Exsomed Corporation$116
- plus $216 from 6 others
Across 1 payment — averaging $30,500 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sonex Health, Inc.$31K
What the payments were for
- Travel & lodging$2,23230%
- Food & beverage$1,51021%
- Education$3,60049%
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. | 10 | $3,825 |
| Anika Therapeutics, Inc. | 3 | $1,503 |
| Skeletal Dynamics Inc | 4 | $1,091 |
| Acumed LLC | 8 | $456 |
| Endo USA, Inc. | 1 | $137 |
| Exsomed Corporation | 1 | $116 |
| Bard Access Systems, Inc. | 1 | $83 |
| Axogen | 1 | $44 |
| Stryker | 1 | $37 |
| Acell, Inc. | 1 | $24 |
| Sonex Health, Inc. | 1 | $15 |
| Abbott | 1 | $12 |
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.
- WristMotion$1,503
- Geminus$992
- Align$992
- IJS$992
- Implate$992
- ACUMED$141
- XIAFLEX$137
- NanoPhix Implant$129
How this compares
$7,343 in reported general payments places this provider in the 70th percentile of 47 hand surgery 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 |
|---|---|---|
| Oxycodone Hcl | 25 | $132 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $82 |
| Methylprednisolone | 12 | $72 |
| Cephalexin | 29 | $64 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Greenville
- Shea RayGreenville$13K
- Fiesky NunezGreenville$8K
- Andrew CrossGreenville$7K
- Mark MoodyGreenville$7K
- Timothy BrownGreenville$6K
- Gregory FaucherGreenville$6K
- John SandersGreenville$4K
- Seraphin MillonGreenville$1K
- Timothy DewGreenville$1K
- Walter BatsonGreenville$112
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.