Ryan Grabow, MD
Hand Surgery · Henderson, NVNPI 1124050307
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,506 of the $3,437 with a category attached, or 72.9%. Sonex Health, Inc. accounts for 63.8% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $1,666 and has fallen 87.8% since, to $204 in 2025. That places this record below the midpoint for hand surgery clinicians in NV, where the typical reported total is $6,204.
Across 38 payments — averaging $90.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$2K
- Trice Medical, Inc.$574
- Endo Pharmaceuticals Inc.$257
- Kyocera Medical Technologies, Inc.$141
- Endo USA, Inc.$129
- Stryker$123
- plus $22 from 2 others
What the payments were for
- Travel & lodging$93127%
- Food & beverage$2,50673%
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 |
|---|---|---|
| Sonex Health, Inc. | 26 | $2,191 |
| Trice Medical, Inc. | 4 | $574 |
| Endo Pharmaceuticals Inc. | 3 | $257 |
| Kyocera Medical Technologies, Inc. | 1 | $141 |
| Endo USA, Inc. | 1 | $129 |
| Stryker | 1 | $123 |
| Johnson & Johnson | 1 | $15 |
| Orthofix Medical, 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.
- ULTRAGUIDECTR$1,116
- Sx-One Microknife$425
- XIAFLEX$368
- Segway blade or mieye camera$255
- SIMPLICITI$123
How this compares
$3,437 in reported general payments places this provider in the 35th percentile of 24 hand surgery providers in Nevada.
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 |
|---|---|---|
| Methylprednisolone | 69 | $374 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $211 |
| Tramadol Hcl | 56 | $153 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $152 |
| Gabapentin | 41 | $132 |
| Ondansetron OdtOndansetron | 19 | $124 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Henderson
- Kevin GolshaniHenderson$32K
- Alan MicevLas Vegas$53K
- Michael LilyquistReno$46K
- Edward BirdsongCarson City$28K
- Andrew WatkinsNellis Afb$19K
- James VaheyLas Vegas$8K
- Thomas ChristensenReno$7K
- Jonathan SorelleLas Vegas$7K
- Ajit AmesurLas Vegas$7K
- Nikola BabovicReno$7K
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.