Sanjeev Kakar, MD
Surgery of the Hand · Rochester, MNNPI 1891960290
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $1,537,535 of the $2,071,062 with a category attached, or 74.2%. Arthrex accounts for 99.2% of it on its own, with 26 other manufacturers making up the rest. 2025 is the largest year on record at $651,815, 3.8 times the $170,513 reported in 2019. Among surgery of the hand clinicians in MN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 908 payments — averaging $2280.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2.1M
- Restor3d, Inc.$7K
- Akcea Therapeutics, Inc.$4K
- Endo Pharmaceuticals Inc.$3K
- Gemini Medical LLC$470
- Foundation Medical, LLC$404
- plus $2K from 21 others
Across 6 payments — averaging $514.87 each. An ownership or investment interest held by the physician or an immediate family member.
- Sonex Health, Inc.$3K
What the payments were for
- Royalty or licence$104,9555%
- Consulting fees$268,48113%
- Speaking & faculty fees$1,537,53574%
- Travel & lodging$148,8617%
- Food & beverage$10,0290%
- Education$1,2000%
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 | 855 | $2,054,521 |
| Restor3d, Inc. | 5 | $6,800 |
| Akcea Therapeutics, Inc. | 1 | $3,500 |
| Endo Pharmaceuticals Inc. | 3 | $3,025 |
| Gemini Medical LLC | 6 | $470 |
| Foundation Medical, LLC | 3 | $404 |
| Medwest Associates | 7 | $324 |
| Acumed LLC | 4 | $268 |
| Medartis Inc. | 2 | $221 |
| Kairos Surgical Inc | 2 | $175 |
| Trimed, Inc. | 1 | $164 |
| Axogen | 2 | $143 |
| Zimmer Biomet | 1 | $129 |
| Pylant Medical | 1 | $123 |
| Checkpoint Surgical, Inc | 1 | $123 |
| Crossroads Orthopedics, LLC | 1 | $121 |
| Smith+Nephew | 1 | $116 |
| Kls-martin L.p. | 1 | $108 |
| Medinc Of Texas | 2 | $89 |
| Great Lakes Orthopedics | 2 | $54 |
| Elevate Surgical Co | 1 | $37 |
| United Orthopedics LLC | 1 | $34 |
| Conetic Solutions, Inc. | 1 | $28 |
| COSA Medical, LLC | 1 | $25 |
| Peerless Surgical Inc. | 1 | $23 |
| Summit Surgical Corp. | 1 | $23 |
| Orthofix Medical, 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.
- ARTHREX$459,639
- KNEE & HIP INSTRUMENTS MENISCAL REPAIR MENISCAL ROOT REPAIR$11,776
- KNEE & HIP IMPLANTS MENISCAL REPAIR MENISCAL ROOT REPAIR$10,610
- KNEE & HIP INSTRUMENTS MENISCAL REPAIR ZONE NAVIGATOR$8,994
- DISTAL EXTREMITIES IMPLANTS HAND & WRIST DISTAL RADIUS$7,436
- AR-1610H$6,259
- ARTHROPLASTY IMPLANTS KNEE ARTHROPLASTY TOTAL KNEE$4,654
- ARTHROPLASTY IMPLANTS TOTAL KNEE ARTHROPLASTY TOTAL KNEE$4,340
- DISTAL EXTREMITIES IMPLANTS TRAUMA DISTAL RADIUS$4,340
- XIAFLEX$2,960
- ARTHROPLASTY IMPLANTS KNEE & HIP ARTHROPLASTY TOTAL KNEE$2,782
- KNEE & HIP INSTRUMENTS REUSABLE INSTRUMENTS PCL$2,782
- ARTHROPLASTY INSTRUMENTS KNEE & HIP ARTHROPLASTY TOTAL KNEE$1,166
- CAPITAL CONSUMABLES CONSUMABLES RF BRF$290
- DISTAL EXTREMITIES IMPLANTS COMPRESSION SCREWS METAL COMPRESSION SCREWS$234
- APTUS$146
- Hand Fracture System$146
- A.L.P.S.$129
- OTHER OTHER OTHER OTHER$125
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE IB LIGAMENT AUGMENTATION$124
How this compares
$2,071,062 in reported general payments places this provider in the 95th percentile of 21 surgery of the hand providers in Minnesota.
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 Rochester
- Alexander ShinRochester$1M
- Peter RheeRochester$88K
- Marco RizzoRochester$48K
- Sami TuffahaRochester$16K
- Lauren TaglieroRochester$6K
- Richard BergerRochester$4K
- Allen BishopRochester$4K
- Ashley TitanRochester$3K
- Yoshiko ToyodaRochester$3K
- Matthew FahrenkopfRochester$3K
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.