Sean Spence, MD
Hand Surgery · Port Charlotte, FLNPI 1497141238
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (37.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Arthrex at 46.9% of the total. Reporting peaked in 2020 at $5,122 and has fallen 69.0% since, to $1,590 in 2025.
Across 88 payments — averaging $153.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$6K
- Smith+Nephew$2K
- Stryker$1K
- MVP Orthopedics Inc$1K
- Mid-atlantic Surgical Systems, LLC$1K
- Johnson & Johnson$784
- plus $987 from 10 others
What the payments were for
- Grants$5,00037%
- Food & beverage$4,85836%
- Education$3,58426%
- Entertainment$841%
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 | 9 | $6,348 |
| Smith+Nephew | 23 | $1,537 |
| Stryker | 25 | $1,426 |
| MVP Orthopedics Inc | 2 | $1,245 |
| Mid-atlantic Surgical Systems, LLC | 1 | $1,200 |
| Johnson & Johnson(2 entities) | 8 | $784 |
| Zimmer Biomet | 3 | $389 |
| Bioventus LLC | 7 | $177 |
| Endo Pharmaceuticals Inc. | 2 | $133 |
| Boston Scientific | 1 | $105 |
| Trimed, Inc. | 2 | $84 |
| Coastal Medical Technologies LLC | 1 | $28 |
| Checkpoint Surgical, Inc | 1 | $25 |
| Axogen | 1 | $21 |
| Endo USA, Inc. | 1 | $17 |
| Dynasplint Systems Inc. | 1 | $8 |
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.
- NA$833
- Bone Anchors with Arthroscopic Delivery System$586
- Bioinductive Implant with Arthroscopic Delivery System - Medium$542
- COMPREHENSIVE$269
- STRATAFIX$261
- Q-FIX$146
- ETHICON$144
- VISTASEAL$144
- DERMABOND PRINEO$144
- N/A$142
- SPATIAL FRAME$142
- Healicoil$142
- LENS 4K$136
- TFN-Advance$127
- HAMMERLOCK$125
- SPEED$125
- XIAFLEX$122
- ACCOLADE$119
- SURGIFLO Hemostatic Matrix$117
- WaveWriter Alpha Prime 16$105
How this compares
$13,526 in reported general payments places this provider in the 80th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 220 | $1,381 |
| Ibuprofen | 93 | $898 |
| Methylprednisolone | 111 | $690 |
| Tramadol Hcl | 246 | $345 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $173 |
| Gabapentin | 13 | $99 |
| Doxycycline Hyclate | 13 | $85 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Port Charlotte
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Justin ZumstegOrlando$133K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
- Helen Hui-ChouMiami$95K
- Philipp StreubelWeston$81K
- Roy CardosoCoral Gables$79K
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.