RxDoctor Payments Data

Thomas Trumble, MD

Hand Surgery · Bellevue, WANPI 1114003837

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $806,171 of the $824,111 with a category attached, or 97.8%. Arthrex accounts for 81.8% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $193,980 and has fallen 79.0% since, to $40,762 in 2025. Among hand surgery clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$824,111in general payments, 2019–2025

Across 104 payments — averaging $7924.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$674K
  • Trimed, Inc.$139K
  • Summit Surgical Corp.$6K
  • Axogen$2K
  • Ensemble Orthopedics, Inc$1K
  • Linvatec Corporation$750
  • plus $1K from 12 others

What the payments were for

  • Royalty or licence$806,17198%
  • Consulting fees$7500%
  • Travel & lodging$7,9641%
  • Food & beverage$3,2260%
  • Education$6,0001%

General payments by program year

19
20
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

$824,111 in reported general payments places this provider in the 95th percentile of 75 hand surgery providers in Washington.

See all hand surgery providers in Washington

Medicare billing

Part B allowed, 2024
$300,938
Medicare patients
257
Services billed
2,140

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
Oxycodone Hcl82$447
Ondansetron OdtOndansetron81$362
Cephalexin22$243
Celecoxib13$199
Ketorolac Tromethamine34$180
Hydroxyzine Pamoate55$140
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen11$136
Tramadol Hcl17$37

Paid to pharmacies, not to this prescriber.

Other hand surgery in Bellevue

See the full list for Washington

Where these figures come from

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