RxDoctor Payments Data

Suresh Nayar, MD

Hand Surgery · Oakland, CANPI 1760805055

Payments from drug & device makers

What this record shows

The money is spread across several categories — grants (44.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Acumed LLC at 44.1% of the total. Reporting peaked in 2021 at $19,813 and has fallen 96.3% since, to $743 in 2025. Among hand surgery clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$37,763in general payments, 2019–2025

Across 75 payments — averaging $503.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Acumed LLC$17K
  • Trimed, Inc.$9K
  • Arthrex$5K
  • Axogen$2K
  • Kairos Surgical Inc$1K
  • Supreme Orthopedic Systems, LLC$1K
  • plus $3K from 9 others

What the payments were for

  • Consulting fees$2,1206%
  • Grants$16,66744%
  • Travel & lodging$5,42114%
  • Food & beverage$6,93018%
  • Education$6,62518%

General payments by program year

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.

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.

How this compares

$37,763 in reported general payments places this provider in the 90th percentile of 249 hand surgery providers in California.

See all hand surgery providers in California

Medicare billing

Part B allowed, 2024
$108,749
Medicare patients
238
Services billed
4,608

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
Ibuprofen82$620
Oxycodone Hcl119$528
Meloxicam19$112
Gabapentin12$54
Tramadol Hcl20$45

Paid to pharmacies, not to this prescriber.

Other hand surgery in Oakland

See the full list for California

Where these figures come from

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