Ryan Stehr, MD
Surgery of the Hand · Fresno, CANPI 1972828812
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,278 of the $3,007 with a category attached, or 75.7%. 13 manufacturers reported payments, led by Skeletal Dynamics Inc at 30.1% of the total.
Across 33 payments — averaging $91.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$905
- Integra Lifesciences Corporation$621
- Checkpoint Surgical, Inc$417
- AbbVie$237
- Axogen$186
- Polynovo North America LLC$174
- plus $468 from 7 others
What the payments were for
- Travel & lodging$72924%
- Food & beverage$2,27876%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 4 | $905 |
| Integra Lifesciences Corporation | 6 | $621 |
| Checkpoint Surgical, Inc | 5 | $417 |
| AbbVie | 2 | $237 |
| Axogen | 4 | $186 |
| Polynovo North America LLC | 4 | $174 |
| TELA Bio, Inc. | 2 | $174 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $154 |
| BD | 1 | $60 |
| Solventum Corporation | 1 | $26 |
| Endo USA, Inc. | 1 | $21 |
| Bioventus LLC | 1 | $18 |
| Anika Therapeutics, Inc. | 1 | $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.
- INTEGRA$1,224
- Geminus$847
- Align$847
- IJS$847
- Implate$847
- INTEGRA DERMAL REGENERATION TEMPLATE$537
- OMNIGRAFT$386
- SURGIMEND$386
- Checkpoint Stimulators$339
- NATRELLE SALINE-FILLED BREAST IMPLANTS$237
- PRIMATRIX$151
- OviTex 2S$135
- Novosorb BTM$132
How this compares
$3,007 in reported general payments places this provider in the 55th percentile of 76 surgery of the hand providers in California.
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.
Other surgery of the hand in Fresno
- Isobel SantosFresno$4K
- Hongshik HanFresno$2K
- Ricardo AvenaFresno$451
- Alexander MajorsFresno$426
- Randi GalliFresno$426
- Bauback SafaSan Francisco$172K
- Emily Perezla Mirada$56K
- Joshua GluckVentura$26K
- Howard SutkinLos Gatos$22K
- Aaron BergerOakland$14K
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.