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Ryan Endress, MD

Hand Surgery · Lone Tree, CONPI 1457549446

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $64,313 of the $79,737 with a category attached, or 80.7%. Valencia Technologies Corporation accounts for 62.0% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2022 at $51,844 and has fallen 92.9% since, to $3,683 in 2025. Among hand surgery clinicians in CO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$79,737in general payments, 2019–2025

Across 174 payments — averaging $458.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Valencia Technologies Corporation$49K
  • Axogen$18K
  • Access Pro Medical, LLC$3K
  • In2bones USA, LLC$2K
  • AbbVie$2K
  • Integra Lifesciences Corporation$1K
  • plus $4K from 28 others
$25,000in ownership & investment interests, 2019–2025

Across 4 payments — averaging $6250.00 each. An ownership or investment interest held by the physician or an immediate family member.

  • Valencia Technologies Corporation$25K

What the payments were for

  • Royalty or licence$2,2043%
  • Consulting fees$64,31381%
  • Travel & lodging$5,2047%
  • Food & beverage$8,01710%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Valencia Technologies Corporation7$49,474
Axogen28$18,228
Access Pro Medical, LLC12$3,058
In2bones USA, LLC10$2,310
AbbVie11$2,002
Integra Lifesciences Corporation32$1,041
Avita Medical Americas, LLC8$586
Smith+Nephew11$400
Kerecis Limited4$392
Musculoskeletal Transplant Foundation Inc.2$292
Mentor Worldwide LLC4$253
Stryker(2 entities)7$187
Medtronic2$186
Polynovo North America LLC5$182
Johnson & Johnson1$147
Acera Surgical, Inc.4$141
Baxter Healthcare2$127
Aroa Biosurgery Incorporated2$112
Sonex Health, Inc.2$109
Motiva USA, LLC5$98
Solta Medical, A Division Of Bausch Health US, LLC2$61
Checkpoint Surgical, Inc1$55
TELA Bio, Inc.1$44
KCI USA, Inc.1$29
Edwards Lifesciences1$28
Dilon Technologies, Inc.1$26
Tepha Inc1$26
Bioventus LLC1$24
Mimedx Group, Inc.1$24
BTG International Inc.1$24
Endo USA, Inc.1$20
Endo Pharmaceuticals Inc.1$19
Innovation Technologies Inc1$17
Teleflex LLC1$14

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

$79,737 in reported general payments places this provider in the 90th percentile of 72 hand surgery providers in Colorado.

See all hand surgery providers in Colorado →

Medicare billing

Part B allowed, 2024
$116,777
Medicare patients
90
Services billed
668

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.

Other hand surgery in Lone Tree

See the full list for Colorado →

Where these figures come from

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