Nichole Joslyn Eastham, MD
Surgery of the Hand · Reno, NVNPI 1902223167
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (33.4%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Trimed, Inc. accounts for 82.9% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2023 at $8,782 and has fallen 84.0% since, to $1,408 in 2025.
Across 113 payments — averaging $194.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$18K
- Motiva USA, LLC$893
- AbbVie$557
- Axogen$466
- Integra Lifesciences Corporation$466
- Stryker$269
- plus $1K from 13 others
What the payments were for
- Consulting fees$3,50016%
- Speaking & faculty fees$4,00018%
- Travel & lodging$6,55830%
- Food & beverage$7,35233%
- Education$6163%
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 |
|---|---|---|
| Trimed, Inc. | 33 | $18,262 |
| Motiva USA, LLC | 8 | $893 |
| AbbVie(2 entities) | 16 | $557 |
| Axogen | 4 | $466 |
| Integra Lifesciences Corporation | 6 | $466 |
| Stryker | 2 | $269 |
| Mentor Worldwide LLC | 9 | $243 |
| Endo Pharmaceuticals Inc. | 21 | $212 |
| Galderma Laboratories, L.p. | 1 | $142 |
| Aptis Medical, LLC | 1 | $131 |
| Johnson & Johnson | 1 | $89 |
| Smith+Nephew | 4 | $79 |
| Gemini Medical LLC | 1 | $66 |
| Kerecis Limited | 1 | $48 |
| Orthofix Medical, Inc. | 1 | $34 |
| Urgo Medical North America, LLC | 1 | $24 |
| BD | 1 | $18 |
| Sanara Medtech Inc. | 1 | $14 |
| Bioventus LLC | 1 | $14 |
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.
- Tools - WFS$3,500
- Tools - AFS$3,285
- Motiva Implant Matrix$477
- AVANCE NERVE GRAFT$466
- NATRELLE SALINE-FILLED BREAST IMPLANTS$149
- INTEGRA MESHED BILAYER WOUND MATRIX$149
- INTEGRA WOUND MATRIX (IWM)$149
- PRIMATRIX$149
- INTEGRA DERMAL REGENERATION TEMPLATE$149
- INTEGRA FLOWABLE WOUND MATRIX$149
- RESTORATION$141
- Aptis DRUJ$131
- VARIAX$128
- Motiva SmoothSilk Round Breast Implant$119
- TENOGLIDE TENDON PROTECTOR SHEET$119
- NEURAGEN NERVE GUIDE$119
- MENTOR CPX 2 Breast Tissue Expander$108
How this compares
Too few surgery of the hand providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 | 11 | $49 |
| Cephalexin | 12 | $46 |
| Oxycodone Hcl | 11 | $30 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Reno
- Julia Cook BeresfordReno$3K
- Christopher IngersolReno$1K
- Ashley PistorioLas Vegas$19K
- Nitin EngineerHenderson$12K
- Carl WilliamsLas Vegas$7K
- Jacquelynn LeeLas Vegas$4K
- Rachel GuestLas Vegas$3K
- Kenny HannaLas Vegas$2K
- Shushan JacobNorth Las Vegas$1K
- Timothy TollestrupHenderson$160
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.