Monica Miller, MD
Surgery of the Hand · Wesley Chapel, FLNPI 1154397297
Payments from drug & device makers
What this record shows
This record is dominated by education: $6,000 of the $8,400 with a category attached, or 71.4%. Arthrex accounts for 84.1% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2022 at $4,525 and has fallen 89.4% since, to $479 in 2025.
Across 45 payments — averaging $186.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$7K
- MVP Orthopedics Inc$359
- Lifenet Health$216
- Axogen$179
- Stryker$152
- Novo Nordisk$117
- plus $317 from 9 others
What the payments were for
- Travel & lodging$92211%
- Food & beverage$1,47818%
- Education$6,00071%
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 |
|---|---|---|
| Arthrex | 18 | $7,061 |
| MVP Orthopedics Inc | 7 | $359 |
| Lifenet Health | 1 | $216 |
| Axogen | 3 | $179 |
| Stryker | 4 | $152 |
| Novo Nordisk | 1 | $117 |
| Pfizer | 1 | $94 |
| Integra Lifesciences Corporation | 3 | $70 |
| Checkpoint Surgical, Inc | 1 | $33 |
| Coastal Medical Technologies LLC | 1 | $31 |
| Sonex Health, Inc. | 1 | $20 |
| Biocircuit Technologies Inc | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $19 |
| Orthocell LTD | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $15 |
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.
- TheraGenesis Wound Matrix$216
- Wegovy$117
How this compares
$8,400 in reported general payments places this provider in the 70th percentile of 60 surgery of the hand providers in Florida.
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 |
|---|---|---|
| Ibuprofen | 53 | $231 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $203 |
| Ondansetron OdtOndansetron | 13 | $69 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $58 |
| Naproxen | 11 | $53 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Wesley Chapel
- Scott GargaszWesley Chapel$602
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
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.