Richard Ruffin, MD
Hand Surgery · Oklahoma City, OKNPI 1750477568
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.9% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Axogen at 29.0% of the total. Reporting peaked in 2023 at $1,100 and has fallen 50.8% since, to $541 in 2025.
Across 48 payments — averaging $84.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Stryker$585
- Trimed, Inc.$371
- Acera Surgical, Inc.$360
- Skeletal Dynamics Inc$346
- Arthrex$289
- plus $942 from 12 others
What the payments were for
- Travel & lodging$2576%
- Food & beverage$3,78393%
- Education$331%
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 |
|---|---|---|
| Axogen | 10 | $1,181 |
| Stryker | 4 | $585 |
| Trimed, Inc. | 4 | $371 |
| Acera Surgical, Inc. | 5 | $360 |
| Skeletal Dynamics Inc | 3 | $346 |
| Arthrex | 6 | $289 |
| Pylant Medical | 4 | $246 |
| Kerecis Limited | 1 | $207 |
| Endo Pharmaceuticals Inc. | 1 | $101 |
| Acumed LLC | 1 | $100 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Extremity Medical | 1 | $77 |
| P Bar Medical LLC | 1 | $39 |
| Kowa Pharmaceuticals America, Inc. | 2 | $34 |
| Integra Lifesciences Corporation | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Sonex Health, Inc. | 1 | $2 |
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.
- Kerecis SurgiClose$829
- AVANCE NERVE GRAFT$772
- AxoGuard Nerve Protector$484
- AxoGuard Nerve Connector$484
- Restrata Wound Matrix$308
- Geminus$262
- Align$262
- IJS$262
- Implate$262
- AXOGUARD HA+ NERVE PROTECTOR$255
- AxoGuard Nerve Cap$255
- Kerecis GraftGuide$207
- ACUMED$200
- ALLOWRAP$168
- 4FUSION$168
- GAMMA$154
- AXSOS$145
- VARIAX$118
- XIAFLEX$101
How this compares
$4,073 in reported general payments places this provider in the 55th percentile of 26 hand surgery providers in Oklahoma.
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 |
|---|---|---|
| Celecoxib | 22 | $698 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 84 | $669 |
| Meloxicam | 40 | $351 |
| Promethazine Hcl | 53 | $133 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Oklahoma City
- Clayton NelsonOklahoma City$22K
- David RushOklahoma City$15K
- Brian ChenowethOklahoma City$11K
- Thomas LehmanOklahoma City$5K
- Yuri LansingerOklahoma City$5K
- Ashley CogarOklahoma City$3K
- Shawhin ShahriariOklahoma City$2K
- Greg HalkoOklahoma City$2K
- Mark ShreveOklahoma City$859
- Harold YocumOklahoma City$743
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.