Patrick Holt
Hand Surgery · Salisbury, MDNPI 1265708242
Payments from drug & device makers
What this record shows
This record is dominated by education: $521 of the $691 with a category attached, or 75.4%. Supreme Orthopedic Systems, LLC accounts for 81.8% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2020 at $565 and has fallen 86.9% since, to $74 in 2025. That places this record below the midpoint for hand surgery clinicians in MD, where the typical reported total is $1,728.
Across 6 payments — averaging $115.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$565
- Smith+Nephew$74
- Arthrex$52
What the payments were for
- Food & beverage$17025%
- Education$52175%
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 |
|---|---|---|
| Supreme Orthopedic Systems, LLC | 2 | $565 |
| Smith+Nephew | 3 | $74 |
| Arthrex | 1 | $52 |
How this compares
$691 in reported general payments places this provider in the 30th percentile of 54 hand surgery providers in Maryland.
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 |
|---|---|---|
| Naproxen | 160 | $1,258 |
| Diclofenac Sodium | 28 | $773 |
| Cephalexin | 41 | $354 |
| Celecoxib | 16 | $300 |
| Ondansetron Hcl | 43 | $170 |
| Oxycodone Hcl | 58 | $127 |
| Meloxicam | 25 | $89 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Salisbury
- Richard KangSalisbury$93
- Khurram PervaizCatonsville$26K
- Sunjay BerdiaRockville$24K
- Duc NguyenBaltimore$18K
- Karly LorbeerSilver Spring$13K
- Christopher ForthmanLutherville$12K
- Harrison SolomonChevy Chase$10K
- Robert WilsonHyattsville$10K
- Marvin DingleBethesda$7K
- Mustafa HaqueBethesda$7K
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.