Paul Paterson, MD
Hand Surgery · Vero Beach, FLNPI 1235114349
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $86,438 of the $103,888 with a category attached, or 83.2%. 19 manufacturers reported payments, led by Sonex Health, Inc. at 59.3% of the total. Reporting peaked in 2019 at $27,504 and has fallen 97.7% since, to $630 in 2025. Among hand surgery clinicians in FL 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 113 payments — averaging $919.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$62K
- Lima USA, Inc.$17K
- Limacorporate S.p.a.$14K
- Integra Lifesciences Corporation$8K
- Conventus Orthopaedics, Inc.$1K
- Trice Medical, Inc.$710
- plus $1K from 13 others
Across 1 payment — averaging $149,100 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sonex Health, Inc.$149K
What the payments were for
- Royalty or licence$8,4128%
- Consulting fees$86,43883%
- Travel & lodging$4,9125%
- Food & beverage$3,9874%
- Education$1380%
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 |
|---|---|---|
| Sonex Health, Inc. | 45 | $61,600 |
| Lima USA, Inc. | 23 | $17,009 |
| Limacorporate S.p.a. | 10 | $14,133 |
| Integra Lifesciences Corporation | 7 | $8,412 |
| Conventus Orthopaedics, Inc. | 1 | $1,000 |
| Trice Medical, Inc. | 7 | $710 |
| Abbott | 3 | $284 |
| Shoulder Innovations, Inc. | 1 | $261 |
| Acumed LLC | 2 | $144 |
| Axogen | 2 | $105 |
| Endo Pharmaceuticals Inc. | 3 | $50 |
| Smith+Nephew | 1 | $36 |
| Stryker | 1 | $36 |
| Electronic Waveform Lab, Inc. | 1 | $28 |
| Amgen | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Avanos Medical | 1 | $14 |
| Heraeus Medical, LLC. | 2 | $14 |
| Orthofix Medical, Inc. | 1 | $11 |
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.
- Sx-One Microknife$32,578
- ULTRAGUIDECTR$28,635
- SMR$23,322
- ULTRAGUIDETFR$12,027
- NUGRIP$8,412
- Product Portfolio$4,882
- SMR Shoulder$2,628
- cage$1,000
- Proclaim IPG$262
- InSet System$261
- ACUMED$115
- OsteoMed$115
How this compares
$103,888 in reported general payments places this provider in the 95th percentile of 173 hand surgery 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 |
|---|---|---|
| Methylprednisolone | 351 | $2,211 |
| Meloxicam | 718 | $1,854 |
| Celecoxib | 67 | $884 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $603 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $184 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 36 | $145 |
| Doxycycline Hyclate | 11 | $106 |
| Oxycodone Hcl | 15 | $66 |
| Prednisone | 12 | $32 |
| Tramadol Hcl | 16 | $22 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Vero Beach
- William CooneyVero Beach$70K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Justin ZumstegOrlando$133K
- Maria-Carolina Orbay AranMiami$108K
- Helen Hui-ChouMiami$95K
- Philipp StreubelWeston$81K
- Roy CardosoCoral Gables$79K
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.