Peter Thomas, MD
Surgery of the Hand · Alexandria, VANPI 1669653523
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (37.6%), education and speaking fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Supreme Orthopedic Systems, LLC at 38.9% of the total. 2025 is the largest year on record at $3,094, 3.9 times the $800 reported in 2019.
Across 32 payments — averaging $174.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$2K
- Arthrex$2K
- Axogen$639
- Bioventus LLC$266
- Osteomed LLC$188
- Trimed, Inc.$186
- plus $314 from 7 others
What the payments were for
- Speaking & faculty fees$1,25022%
- Travel & lodging$94817%
- Food & beverage$2,10338%
- Education$1,29423%
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 | 9 | $2,176 |
| Arthrex | 7 | $1,826 |
| Axogen | 2 | $639 |
| Bioventus LLC | 2 | $266 |
| Osteomed LLC | 2 | $188 |
| Trimed, Inc. | 1 | $186 |
| Medartis Inc. | 2 | $91 |
| Checkpoint Surgical, Inc | 1 | $72 |
| Genentech USA, Inc. | 1 | $68 |
| Smith+Nephew | 2 | $37 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Endo Pharmaceuticals Inc. | 1 | $19 |
| Orthofix Medical, Inc. | 1 | $5 |
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
Too few surgery of the hand providers in Virginiato 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 |
|---|---|---|
| Diclofenac Sodium | 37 | $601 |
| Meloxicam | 20 | $69 |
| Prednisone | 26 | $53 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Alexandria
- Wyndell MerrittHenrico$13K
- Wayne ChenVirginia Beach$10K
- Hatcher CoxSalem$6K
- Santiago RodriguezNorfolk$5K
- Alexander CroogMc Lean$4K
- David GalpernRichmond$4K
- Ramon de JesusNorfolk$4K
- Arjun DhayalanChesapeake$444
- Stephen LeibovicRichmond$436
- Raymond MorganCharlottesville$118
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.