Has Richard Wirges, MD received payments from drug or device companies?

Yes. Drug and device makers reported $4,963 in general payments to Richard Wirges, MD across 50 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Richard Wirges, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Richard Wirges, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Richard Wirges, MD

Surgery of the Hand · Little Rock, ARNPI 1124211271

Payments from drug & device makers

$4,963in general payments, 2019–2025

Across 50 payments — averaging $99.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Arthrex$2K
Axogen$1K
Midsouth Orthopedics Inc.$744
Stryker$691
Integra Lifesciences Corporation$227
Skeletal Dynamics Inc$118
plus $186 from 5 others

What the payments were for

Travel & lodging$1,97940%
Food & beverage$2,38348%
Education$60112%

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	13	$1,603
Axogen	10	$1,395
Midsouth Orthopedics Inc.	8	$744
Stryker	5	$691
Integra Lifesciences Corporation	5	$227
Skeletal Dynamics Inc	1	$118
Biocircuit Technologies Inc	1	$55
Pacira Pharmaceuticals Incorporated	2	$46
Bioventus LLC	2	$37
Amgen	2	$32
Endo Pharmaceuticals Inc.	1	$16

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

Too few surgery of the hand providers in Arkansasto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024

$218,247

Medicare patients

478

Services billed

3,727

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	91	$722
Acetaminophen-CodeineAcetaminophen With Codeine	110	$560
Cephalexin	30	$301
Promethazine Hcl	130	$232
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	14	$113
Gabapentin	13	$79
Ondansetron Hcl	20	$48
Meloxicam	19	$40
Tramadol Hcl	13	$31

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Little Rock

Jeffrey GrynwaldLittle Rock$5K
Eugene SloanLittle Rock$4K
Syed Safder Abbas HasanJonesboro$1K
James KellyFort Smith$227

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.

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