RxDoctor Payments Data

Sebastian Ruggeri, MD

Surgery of the Hand · Phoenix, AZNPI 1922076090

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 32 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Stryker accounts for 74.0% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $382 and has fallen 91.4% since, to $33 in 2025.

$999in general payments, 2019–2025

Across 32 payments — averaging $31.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$739
  • Integra Lifesciences Corporation$110
  • Heron Therapeutics, Inc.$29
  • Electronic Waveform Lab, Inc.$26
  • Orthofix Medical, Inc.$24
  • Nalu Medical, Inc.$23
  • plus $48 from 3 others

What the payments were for

  • Food & beverage$999100%

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

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.

How this compares

Too few surgery of the hand providers in Arizonato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$72,252
Medicare patients
131
Services billed
625

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen39$403
Cephalexin57$262
Gabapentin28$206
Nortriptyline Hcl14$68

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Phoenix

See the full list for Arizona

Where these figures come from

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