Rannie Alsamkari, MD
Surgery of the Hand · Naples, FLNPI 1487847489
Payments from drug & device makers
What this record shows
This record is dominated by education: $2,863 of the $3,320 with a category attached, or 86.2%. Arthrex accounts for 91.3% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $1,905 and has fallen 96.0% since, to $76 in 2023. That places this record below the midpoint for surgery of the hand clinicians in FL, where the typical reported total is $3,069.
Across 18 payments — averaging $184.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Sonex Health, Inc.$163
- Axogen$125
What the payments were for
- Travel & lodging$120%
- Food & beverage$44513%
- Education$2,86386%
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 |
|---|---|---|
| Arthrex | 15 | $3,032 |
| Sonex Health, Inc. | 2 | $163 |
| Axogen | 1 | $125 |
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
$3,320 in reported general payments places this provider in the 50th percentile of 60 surgery of the hand 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 |
|---|---|---|
| Cephalexin | 77 | $1,104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 122 | $696 |
| Methylprednisolone | 104 | $623 |
| Doxycycline Monohydrate | 38 | $440 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 25 | $319 |
| Tramadol Hcl | 19 | $62 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Naples
- Ronaldo CarneiroNaples$2K
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
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.