Nathan Monaco, MD
Hand Surgery · Akron, OHNPI 1164715827
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,150 of the $3,600 with a category attached, or 87.5%. 8 manufacturers reported payments, led by Rock Medical Orthopedics, Inc. at 54.7% of the total. Reporting peaked in 2019 at $2,023 and has fallen 93.0% since, to $142 in 2025.
Across 13 payments — averaging $276.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rock Medical Orthopedics, Inc.$2K
- Arthrex$1K
- Axogen$208
- Johnson & Johnson$89
- Kerecis Limited$48
- Bioventus LLC$23
- plus $38 from 2 others
What the payments were for
- Food & beverage$45013%
- Education$3,15087%
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 |
|---|---|---|
| Rock Medical Orthopedics, Inc. | 3 | $1,970 |
| Arthrex | 2 | $1,224 |
| Axogen | 2 | $208 |
| Johnson & Johnson | 2 | $89 |
| Kerecis Limited | 1 | $48 |
| Bioventus LLC | 1 | $23 |
| Checkpoint Surgical, Inc | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $19 |
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
$3,600 in reported general payments places this provider in the 65th percentile of 88 hand surgery providers in Ohio.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 120 | $733 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $324 |
| Prednisone | 42 | $115 |
| Cephalexin | 11 | $52 |
| Methylprednisolone | 11 | $41 |
| Oxycodone Hcl | 14 | $35 |
| Tramadol Hcl | 12 | $31 |
| Meloxicam | 17 | $31 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Akron
- Mollie ManleyAkron$540K
- Rafal StachowiczAkron$4K
- John DietrichAkron$3K
- Nicholas SatarianoAkron$3K
- Thomas ReillyAkron$613
- Harry HoyenCleveland$330K
- Joseph StyronCleveland$197K
- H Brent BambergerDayton$100K
- Youssra MarjouaCleveland$93K
- Raymond WurapaGahanna$74K
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.