Snehal Dalal, MD
Surgery of the Hand · Johns Creek, GANPI 1639120702
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 67.8% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2020 at $7,873 and has fallen 91.0% since, to $709 in 2025.
Across 90 payments — averaging $221.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$13K
- Zimmer Biomet$4K
- Catalyst Orthoscience$682
- Bioventus LLC$490
- Johnson & Johnson$442
- Stryker$314
- plus $809 from 12 others
Across 1 payment — averaging $32,700 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$33K
What the payments were for
- Consulting fees$8,67244%
- Speaking & faculty fees$5,63128%
- Travel & lodging$2,12411%
- Food & beverage$3,48417%
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 |
|---|---|---|
| Smith+Nephew | 32 | $13,491 |
| Zimmer Biomet | 3 | $3,684 |
| Catalyst Orthoscience | 6 | $682 |
| Bioventus LLC | 5 | $490 |
| Johnson & Johnson | 18 | $442 |
| Stryker(2 entities) | 3 | $314 |
| Acumed LLC | 4 | $311 |
| Endo Pharmaceuticals Inc. | 6 | $248 |
| AbbVie | 2 | $67 |
| Pacira Pharmaceuticals Incorporated | 2 | $33 |
| Vertex | 1 | $31 |
| Endo USA, Inc. | 1 | $25 |
| Axogen | 1 | $20 |
| Orthofix Medical, Inc. | 2 | $17 |
| Amgen | 1 | $16 |
| Ferring Pharmaceuticals Inc. | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $13 |
| Sentynl Therapeutics, Inc. | 1 | $13 |
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.
- SpeedSnare$3,625
- Juggerknot$3,625
- Biowick$3,625
- Q-FIX Shoulder$2,125
- MICRORAPTOR Knotless Shoulder$2,125
- PROCISE Tonsil$1,129
- HEALICOIL PK Hip$1,129
- DERMAL WOUND$1,129
- Journey II$1,129
- EVOS$1,129
- POLARSTEM$504
- Catalyst Total CSR$266
- Durolane$193
- XIAFLEX$148
- PICO Single Use Negative Pressure Wound Therapy$148
- Oasis$148
- VERSAJET II$148
- Allevyn Life$148
- Dyonics Platinum$144
- Endobutton$144
How this compares
Too few surgery of the hand providers in Georgiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Diclofenac Sodium | 17 | $1,075 |
| Ibuprofen | 134 | $910 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 65 | $668 |
| Meloxicam | 204 | $661 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 72 | $610 |
| Ondansetron Hcl | 94 | $406 |
| Tramadol Hcl | 90 | $213 |
| Methylprednisolone | 30 | $125 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Johns Creek
- Travis FarmerRincon$17K
- Daniel HoltzAcworth$6K
- Trevor StarnesMarietta$5K
- Brandy CrossMarietta$5K
- Cesar Molina AndradeSmyrna$5K
- Samuel PayneAtlanta$2K
- Virginia JonesNewnan$2K
- Amit PatelSmyrna$566
- Steven WatsonSmyrna$146
- Michael MangononNorcross$36
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.