Stephen Refsland, MD
Hand Surgery · Philadelphia, PANPI 1922329572
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.3%), travel and lodging and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Gemini Mountain Medical, LLC at 34.8% of the total. Reporting peaked in 2024 at $2,509 and has fallen 90.3% since, to $243 in 2025.
Across 98 payments — averaging $52.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gemini Mountain Medical, LLC$2K
- Sonex Health, Inc.$2K
- Electronic Waveform Lab, Inc.$548
- Smith+Nephew$481
- Johnson & Johnson$187
- Exsomed Corporation$95
- plus $280 from 6 others
Across 2 payments — averaging $40,650 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.
- Sonex Health, Inc.$81K
What the payments were for
- Travel & lodging$1,32226%
- Food & beverage$2,65851%
- Education$1,20023%
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 |
|---|---|---|
| Gemini Mountain Medical, LLC | 4 | $1,801 |
| Sonex Health, Inc. | 39 | $1,788 |
| Electronic Waveform Lab, Inc. | 31 | $548 |
| Smith+Nephew | 8 | $481 |
| Johnson & Johnson | 6 | $187 |
| Exsomed Corporation | 1 | $95 |
| Anika Therapeutics, Inc. | 2 | $93 |
| Arthrex | 3 | $87 |
| Vertex | 1 | $34 |
| Acumed LLC | 1 | $28 |
| Zimmer Biomet | 1 | $25 |
| Baxter Healthcare | 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.
- Sx-One Microknife$1,175
- EVOS$262
- VLP Mini-MOD$115
- TRIGEN InterTAN$115
How this compares
$5,180 in reported general payments places this provider in the 55th percentile of 110 hand surgery providers in Pennsylvania.
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 |
|---|---|---|
| Ketorolac Tromethamine | 85 | $1,094 |
| Oxycodone Hcl | 46 | $745 |
| Tramadol Hcl | 143 | $538 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 92 | $502 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 39 | $299 |
| Gabapentin | 15 | $219 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $173 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Philadelphia
- Adam StrohlPhiladelphia$175K
- Eon ShinPhiladelphia$44K
- Neal ChenPhiladelphia$24K
- Matthew WilsonPhiladelphia$22K
- Praveen MurthyPhiladelphia$20K
- Brandon BoydPhiladelphia$18K
- Nikolas KazmersPhiladelphia$16K
- Jessica IntraviaPhiladelphia$15K
- Andrew SobelPhiladelphia$12K
- Dana CruzPhiladelphia$7K
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.