Rachel Hein, MD
Surgery of the Hand · Oklahoma City, OKNPI 1376938142
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (50.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by AbbVie at 51.3% of the total. Reporting peaked in 2024 at $10,677 and has fallen 84.4% since, to $1,669 in 2025.
Across 135 payments — averaging $123.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$9K
- Axogen$3K
- Smith+Nephew$2K
- Stryker$847
- Acumed LLC$655
- Skeletal Dynamics Inc$397
- plus $1K from 12 others
What the payments were for
- Grants$8,32550%
- Travel & lodging$1,2327%
- Food & beverage$7,00042%
- Education$590%
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 |
|---|---|---|
| AbbVie(2 entities) | 3 | $8,526 |
| Axogen | 51 | $2,995 |
| Smith+Nephew | 10 | $1,708 |
| Stryker | 35 | $847 |
| Acumed LLC | 7 | $655 |
| Skeletal Dynamics Inc | 3 | $397 |
| Endo Pharmaceuticals Inc. | 5 | $388 |
| Trice Medical, Inc. | 1 | $184 |
| Trimed, Inc. | 2 | $174 |
| Endo USA, Inc. | 3 | $164 |
| Polynovo North America LLC | 6 | $129 |
| P Bar Medical LLC | 1 | $126 |
| Access Pro Medical, LLC | 1 | $117 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Alnylam Pharmaceuticals Inc. | 3 | $59 |
| Johnson & Johnson | 1 | $34 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Pylant Medical | 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.
- BOTOX$8,325
- ACUMED$810
- LOQTEQ$789
- First Choice DRUJ System$789
- AVANCE NERVE GRAFT$510
- XIAFLEX$464
- AXOGUARD HA+ NERVE PROTECTOR$418
- Geminus$397
- Align$397
- IJS$397
- Implate$397
- OsteoMed$298
- AxoGuard Nerve Connector$255
- AxoGuard Nerve Protector$255
- AxoGuard Nerve Cap$255
- Ascension$141
- NUGRIP CMC IMPLANT SYSTEM$141
- Hat-Trick$141
- EVOS$136
- TRIGEN InterTAN$136
How this compares
Too few surgery of the hand providers in Oklahomato 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 |
|---|---|---|
| Oxycodone Hcl | 105 | $407 |
| Methylprednisolone | 33 | $326 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Oklahoma City
- Margaret PorembskiOklahoma City$3K
- Daron HittOklahoma City$1K
- Robert UnsellOklahoma City$817
- Ashok KrishnamurthyOklahoma City$239
- David MokhteeTulsa$9K
- Zachary HurwitzEdmond$9K
- Elizabeth WeldinTulsa$4K
- Carolyn BergTulsa$2K
- Jeffrey StrombergTulsa$2K
- Stephen MihalskyEdmond$303
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.