Richard Trevino, MD
Hand Surgery · York, PANPI 1912997503
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (48.9%), food and beverage and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Globus Medical at 44.4% of the total. Reporting peaked in 2020 at $2,266 and has fallen 75.5% since, to $555 in 2025.
Across 27 payments — averaging $168.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Axogen$908
- Novus Surgical Solutions LLC$900
- Kuros Biosciences USA, Inc$152
- Skeletal Dynamics Inc$115
- Stryker$112
- plus $336 from 8 others
What the payments were for
- Speaking & faculty fees$501%
- Travel & lodging$2,21749%
- Food & beverage$1,37030%
- Education$90020%
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 |
|---|---|---|
| Globus Medical | 5 | $2,014 |
| Axogen | 6 | $908 |
| Novus Surgical Solutions LLC | 2 | $900 |
| Kuros Biosciences USA, Inc | 1 | $152 |
| Skeletal Dynamics Inc | 1 | $115 |
| Stryker | 3 | $112 |
| Biocomposites Inc | 1 | $110 |
| Avita Medical Americas, LLC | 1 | $66 |
| Trice Medical, Inc. | 1 | $50 |
| Novus Surgical Consultants | 1 | $25 |
| Illuminoss Medical, Inc. | 2 | $25 |
| Avanos Medical | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $18 |
| Kerecis Limited | 1 | $18 |
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.
- Clavical Fixation (16-186)$1,987
- AxoGuard Nerve Connector$753
- AxoGuard Nerve Protector$753
- AVANCE NERVE GRAFT$222
- MagnetOs$152
- Geminus$115
- Align$115
- IJS$115
- Implate$115
- AXOGUARD HA+ NERVE PROTECTOR$114
- AxoGuard Nerve Cap$114
- Stimulan$110
How this compares
$4,537 in reported general payments places this provider in the 55th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 15 | $25 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in York
- John IngariYork$25K
- Clayton AlexanderYork$13K
- Jovito AngelesYork$9K
- Thomas GrahamAllentown$1.4M
- Randall CulpPlains$358K
- Asif IlyasBryn Mawr$295K
- Arthur OstermanKing Of Prussia$198K
- Meredith OstermanKing Of Prussia$196K
- Adam StrohlPhiladelphia$175K
- Mark BaratzPittsburgh$112K
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.