Steven Karnyski
Orthopaedic Surgery · Henrietta, NYNPI 1891158192
Payments from drug & device makers
Across 152 payments — averaging $319.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$29K
- Smith+Nephew$5K
- Micromed Inc$4K
- Medical Device Business Services, Inc.$3K
- Prodigy Surgical Distribution, Inc.$3K
- Stryker$2K
- plus $2K from 14 others
What the payments were for
- Grants$23,48448%
- Travel & lodging$5,42211%
- Food & beverage$5,97612%
- Education$13,65328%
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 | 64 | $28,711 |
| Smith+Nephew | 22 | $5,486 |
| Micromed Inc | 5 | $3,728 |
| Medical Device Business Services, Inc. | 1 | $3,484 |
| Prodigy Surgical Distribution, Inc. | 9 | $3,193 |
| Stryker | 19 | $1,918 |
| Saxum Surgical, Inc. | 2 | $1,206 |
| Johnson & Johnson(2 entities) | 8 | $255 |
| Ferring Pharmaceuticals Inc. | 7 | $138 |
| Catalyst Orthoscience | 1 | $84 |
| Fidia Pharma USA Inc. | 3 | $67 |
| DJO, LLC | 1 | $51 |
| IBSA Pharma Inc. | 2 | $41 |
| Avanos Medical | 2 | $34 |
| Curonix LLC | 1 | $31 |
| Vertex | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Abbott | 1 | $20 |
| Skeletal Dynamics 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.
- CINCHLOCK$708
- MAKO$331
- Q-FIX Hip$294
- Q-FIX$263
- Bone Anchors with Arthroscopic Delivery System$223
- EVOS$150
- MICRORAPTOR Knotless Hip$141
- SPEEDLOCK HIP$141
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$130
- AEQUALIS PERFORM REVERSED$115
- AEQUALIS PERFORM$115
- Speedlock$113
- Healicoil$104
- The Pink Hip Kit - Smith & Nephew Table$104
- STRATAFIX$100
How this compares
$48,535 in reported general payments places this provider in the 80th percentile of 1,079 orthopaedic surgery providers in New York.
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 |
|---|---|---|
| Celecoxib | 85 | $1,077 |
| Meloxicam | 55 | $171 |
| Methylprednisolone | 19 | $110 |
| Ibuprofen | 19 | $99 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Henrietta
- Anthony RomeoNew York$27M
- Lawrence LenkeNew York$26.8M
- Edwin SuNew York$14.1M
- William RicciNew York$11.6M
- Steven HaasNew York$11.5M
- Giles ScuderiNew York$10.9M
- Joseph ZuckermanNew York$9.9M
- Evan FlatowNew York$9.6M
- Bradford ParsonsNew York$9.4M
- Geoffrey WestrichNew York$8M
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.