Thomas Lynch, MD
Orthopaedic Surgery · Tripler Amc, HINPI 1851885123
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Stryker at 32.1% of the total.
Across 78 payments — averaging $110.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Medinc Of Texas$3K
- Skeletal Dynamics Inc$1K
- Acumed LLC$489
- Axogen$217
- Peerless Surgical Inc.$175
- plus $988 from 10 others
What the payments were for
- Travel & lodging$1,14513%
- Food & beverage$4,96057%
- Education$2,53129%
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 |
|---|---|---|
| Stryker | 48 | $2,770 |
| Medinc Of Texas | 2 | $2,531 |
| Skeletal Dynamics Inc | 5 | $1,466 |
| Acumed LLC | 7 | $489 |
| Axogen | 2 | $217 |
| Peerless Surgical Inc. | 3 | $175 |
| Medtronic | 1 | $155 |
| Bioventus LLC | 1 | $149 |
| Biocircuit Technologies Inc | 1 | $142 |
| Endo USA, Inc. | 1 | $130 |
| KCI USA, Inc. | 2 | $107 |
| Checkpoint Surgical, Inc | 1 | $97 |
| Zimmer Biomet | 1 | $78 |
| Sanara Medtech Inc. | 1 | $57 |
| Biocomposites Inc | 1 | $51 |
| Solventum Corporation | 1 | $21 |
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.
- Geminus$1,373
- Align$1,373
- IJS$1,373
- Implate$1,373
- ACUMED$413
- AUGMENT INJECTABLE$334
- AXSOS$290
- MAKO$268
- T2 ALPHA$172
- CLAW II$172
- CHARLOTTE$172
- FIXOS$162
- UNID_PASS$155
- Exogen Ultrasound Bone Healing System$149
- Nerve Tape$142
- XIAFLEX$130
- AVANCE NERVE GRAFT$120
- AxoGuard Nerve Connector$120
- AxoGuard Nerve Protector$120
- AXOGUARD HA+ NERVE PROTECTOR$120
How this compares
$8,636 in reported general payments places this provider in the 70th percentile of 83 orthopaedic surgery providers in Hawaii.
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.
Other orthopaedic surgery in Tripler Amc
- William RoachTripler Amc$16K
- Kenneth HeidaTripler Amc$3K
- Sean KellyTripler Amc$2K
- Robert MedoffKailua$28.8M
- David RovinskyLihue$1.1M
- Cass NakasoneHonolulu$957K
- Darin AwayaHonolulu$445K
- Christian KikuchiHonolulu$142K
- Paul MortonHonolulu$83K
- Gary OkamuraHonolulu$69K
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.