Richard Singer, MD
Surgery of the Hand · Dearborn, MINPI 1669464434
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 44 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Endo Pharmaceuticals Inc. at 48.3% of the total. Reporting peaked in 2024 at $243 and has fallen 55.4% since, to $108 in 2025. That places this record below the midpoint for surgery of the hand clinicians in MI, where the typical reported total is $3,724.
Across 44 payments — averaging $25.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$538
- Endo USA, Inc.$157
- Integra Lifesciences Corporation$135
- Johnson & Johnson$125
- Stryker$52
- Revance Therapeutics, Inc.$42
- plus $65 from 4 others
What the payments were for
- Food & beverage$1,114100%
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. | 24 | $538 |
| Endo USA, Inc. | 9 | $157 |
| Integra Lifesciences Corporation | 2 | $135 |
| Johnson & Johnson | 1 | $125 |
| Stryker | 2 | $52 |
| Revance Therapeutics, Inc. | 1 | $42 |
| Orthofix Medical, Inc. | 2 | $25 |
| Osteomed LLC | 1 | $19 |
| Dynasplint Systems Inc. | 1 | $14 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $7 |
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
$1,114 in reported general payments places this provider in the 30th 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 |
|---|---|---|
| Cephalexin | 169 | $401 |
| Tramadol Hcl | 172 | $196 |
| Doxycycline Hyclate | 42 | $136 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $97 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Dearborn
- Edward HaassDearborn$8K
- Scott SamonaDearborn$2K
- 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
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.