Perry Altman, MD
Surgery of the Hand · Beverly Hills, MINPI 1598025546
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.7%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Pinnacle, Inc at 29.2% of the total. Reporting peaked in 2019 at $1,680 and has fallen 82.7% since, to $291 in 2025. That places this record below the midpoint for surgery of the hand clinicians in MI, where the typical reported total is $3,724.
Across 19 payments — averaging $196.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$1K
- Microaire Surgical Instruments LLC$1K
- Acumed LLC$686
- Axogen$348
- Zimmer Biomet$164
- My01 Inc.$144
- plus $295 from 5 others
What the payments were for
- Consulting fees$662%
- Speaking & faculty fees$1,00027%
- Food & beverage$1,03128%
- Education$1,62744%
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 |
|---|---|---|
| Pinnacle, Inc | 2 | $1,087 |
| Microaire Surgical Instruments LLC | 1 | $1,000 |
| Acumed LLC | 3 | $686 |
| Axogen | 3 | $348 |
| Zimmer Biomet | 2 | $164 |
| My01 Inc. | 1 | $144 |
| Johnson & Johnson | 3 | $130 |
| Orthopediatrics Corp. | 1 | $66 |
| Ossur Americas, Inc. | 1 | $59 |
| Stryker | 1 | $25 |
| Endo Pharmaceuticals Inc. | 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.
- Acu-Loc/Acu-Loc 2 Wrist Plating System$576
- Elbow Plates$576
- Anatomic Radial Head$576
- Acutrak/Acutrak 2 Screws - Micro, Mini, Std, Fusion$576
- AVANCE NERVE GRAFT$147
- A.L.P.S.$145
- DVR Anatomic Kickstand$145
- MY01 Continuous Compartmental Pressure Monitor$144
How this compares
$3,724 in reported general payments places this provider in the 50th percentile of 41 surgery of the hand providers in Michigan.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 184 | $636 |
| Gabapentin | 21 | $179 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $163 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 36 | $141 |
| Ibuprofen | 14 | $116 |
| Meloxicam | 27 | $65 |
| Tramadol Hcl | 11 | $31 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Beverly Hills
- Leslie WongGrand Rapids$185K
- Alberto AvilesWarren$22K
- Ara BushShelby Township$18K
- Emily AbbottWarren$14K
- Michael FitzsimmonsYpsilanti$13K
- Andrew TsaiDetroit$11K
- Caroline WurtzelChelsea$10K
- Edmund GradyWarren$9K
- Marek HansdorferTraverse City$8K
- Edward HaassDearborn$8K
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.