Richard Howell, MD
Surgery of the Hand · Holland, MINPI 1689662405
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $231 of the $306 with a category attached, or 75.6%. 7 manufacturers reported payments, led by Endo Pharmaceuticals Inc. at 37.6% of the total. That places this record below the midpoint for surgery of the hand clinicians in MI, where the typical reported total is $3,724.
Across 11 payments — averaging $27.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$115
- Stryker$96
- Abbott$23
- Vertex$22
- Medtronic$17
- Heraeus Medical, LLC.$17
- plus $16 from 1 others
What the payments were for
- Food & beverage$23176%
- Education$7524%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Endo Pharmaceuticals Inc. | 2 | $115 |
| Stryker | 4 | $96 |
| Abbott | 1 | $23 |
| Vertex | 1 | $22 |
| Medtronic | 1 | $17 |
| Heraeus Medical, LLC. | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $16 |
How this compares
$306 in reported general payments places this provider in the 10th 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 |
|---|---|---|
| Methylprednisolone | 55 | $293 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 111 | $267 |
| Cephalexin | 81 | $173 |
| Tramadol Hcl | 34 | $41 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Holland
- 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.