Randall Culp, MD
Hand Surgery · Plains, PANPI 1194760736
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $282,430 of the $358,462 with a category attached, or 78.8%. 19 manufacturers reported payments, led by Anika Therapeutics, Inc. at 53.1% of the total. Reporting peaked in 2019 at $76,332 and has fallen 61.5% since, to $29,353 in 2024. Among hand surgery clinicians in PA 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 191 payments — averaging $1876.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Anika Therapeutics, Inc.$190K
- Arthrosurface Incorporated$118K
- Arthrex$35K
- Zimmer Biomet$11K
- Novus Surgical Consultants$2K
- Novus Surgical Solutions LLC$2K
- plus $798 from 13 others
What the payments were for
- Royalty or licence$282,43079%
- Consulting fees$28,6858%
- Speaking & faculty fees$31,2839%
- Travel & lodging$9,8583%
- Food & beverage$3,4181%
- Education$2,7881%
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 |
|---|---|---|
| Anika Therapeutics, Inc. | 34 | $190,341 |
| Arthrosurface Incorporated | 15 | $117,663 |
| Arthrex | 67 | $34,947 |
| Zimmer Biomet | 11 | $11,068 |
| Novus Surgical Consultants | 24 | $1,962 |
| Novus Surgical Solutions LLC | 6 | $1,683 |
| Endo Pharmaceuticals Inc. | 18 | $309 |
| Stryker | 1 | $100 |
| Skeletal Dynamics Inc | 1 | $95 |
| Linvatec Corporation | 3 | $76 |
| Axogen | 1 | $68 |
| Acelrx Pharmaceuticals, Inc. | 2 | $33 |
| Acumed LLC | 2 | $29 |
| Trevena, Inc. | 1 | $23 |
| DJO, LLC | 1 | $17 |
| Johnson & Johnson | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $11 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- HemiCAP Wrist$183,904
- WristMotion$71,412
- Total Wrist Arthroplasty$49,106
- DVR Anatomic Kickstand$7,605
- DVR Crosslock Plates/Screws/Pegs$2,344
- HemiCAP$1,616
- Wristloc$1,051
- Drawtight$529
- X-Twist$529
- TACTOSET$529
- Arthrosurface Hammertoes$500
- ATLAS$500
- Hand & Wrist Portfolio$375
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ANCHORS$101
- SWANSON$100
How this compares
$358,462 in reported general payments places this provider in the 95th percentile of 110 hand surgery providers in Pennsylvania.
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.
Other hand surgery in Plains
- Thomas GrahamAllentown$1.4M
- Asif IlyasBryn Mawr$295K
- Arthur OstermanKing Of Prussia$198K
- Meredith OstermanKing Of Prussia$196K
- Adam StrohlPhiladelphia$175K
- Mark BaratzPittsburgh$112K
- Richard TostiBryn Mawr$109K
- Sidney JacobyKing Of Prussia$105K
- Peter TangPittsburgh$85K
- Michael RivlinBensalem$84K
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.