Nathan Hoekzema, MD
Hand Surgery · Clovis, CANPI 1205815164
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $242,400 of the $399,923 with a category attached, or 60.6%. Skeletal Dynamics Inc accounts for 99.4% of it on its own, with 17 other manufacturers making up the rest. Among hand surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 292 payments — averaging $1369.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$398K
- Axogen$1K
- Stryker$484
- Cerapedics Inc.$169
- My01 Inc.$127
- Cornerstone Medical Associates, Inc.$80
- plus $321 from 12 others
What the payments were for
- Royalty or licence$11,3743%
- Speaking & faculty fees$242,40061%
- Travel & lodging$26,8477%
- Food & beverage$15,1904%
- Education$104,11226%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 233 | $397,568 |
| Axogen | 26 | $1,173 |
| Stryker | 10 | $484 |
| Cerapedics Inc. | 1 | $169 |
| My01 Inc. | 1 | $127 |
| Cornerstone Medical Associates, Inc. | 3 | $80 |
| Vertex | 3 | $60 |
| Johnson & Johnson(2 entities) | 2 | $45 |
| Smith+Nephew | 3 | $37 |
| Bioventus LLC | 2 | $37 |
| Paragon 28, Inc. | 1 | $25 |
| BD | 1 | $20 |
| Merck | 1 | $19 |
| Davol Inc. | 1 | $19 |
| Avanos Medical | 1 | $18 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $13 |
| Checkpoint Surgical, Inc | 1 | $9 |
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.
- Geminus$392,708
- Align$392,708
- IJS$392,708
- Implate$392,708
- AVANCE NERVE GRAFT$232
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$169
- MY01 Continuous Compartmental Pressure Monitor$127
- AxoGuard Nerve Connector$120
- AxoGuard Nerve Protector$120
- AXOGUARD HA+ NERVE PROTECTOR$120
- AxoGuard Nerve Cap$120
How this compares
$399,923 in reported general payments places this provider in the 95th percentile of 249 hand surgery providers in California.
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.
Other hand surgery in Clovis
- Steven ShinLos Angeles$2.8M
- Amy LaddStanford$1.4M
- Emilie CheungStanford$1.1M
- Andrew HartmanOceanside$957K
- Nancy LynchSan Mateo$862K
- Jeffrey YaoRedwood City$622K
- Prosper BenhaimLos Angeles$492K
- Wayne PanOakland$423K
- Robin KamalStanford$343K
- Raymond RavenLos Angeles$310K
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.