RxDoctor Payments Data

Timothy Luchetti, MD

Hand Surgery · Raleigh, NCNPI 1447665302

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (31.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Tricoast Surgical Solutions LLC at 35.8% of the total. Reporting peaked in 2022 at $2,199 and has fallen 59.0% since, to $902 in 2025.

$5,612in general payments, 2019–2025

Across 44 payments — averaging $127.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Tricoast Surgical Solutions LLC$2K
  • BD$750
  • Exactech, Inc.$723
  • Arthrex$451
  • Novus Surgical Solutions LLC$400
  • Axogen$329
  • plus $951 from 11 others

What the payments were for

  • Speaking & faculty fees$75013%
  • Travel & lodging$1,47526%
  • Food & beverage$1,78832%
  • Education$1,60029%

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.

CompanyPaymentsTotal
Tricoast Surgical Solutions LLC5$2,007
BD1$750
Exactech, Inc.3$723
Arthrex2$451
Novus Surgical Solutions LLC1$400
Axogen1$329
Endo Pharmaceuticals Inc.8$244
Anika Therapeutics, Inc.3$115
Stryker2$111
Endo USA, Inc.5$109
Johnson & Johnson2$104
Amgen3$65
Integra Lifesciences Corporation3$60
Zimmer Biomet1$52
Sonex Health, Inc.2$45
Medartis Inc.1$27
Bioventus LLC1$20

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

$5,612 in reported general payments places this provider in the 60th percentile of 79 hand surgery providers in North Carolina.

See all hand surgery providers in North Carolina

Medicare billing

Part B allowed, 2024
$81,154
Medicare patients
159
Services billed
1,156

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen28$211
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen21$136
Cephalexin13$96
Tramadol Hcl25$51
Meloxicam22$36

Paid to pharmacies, not to this prescriber.

Other hand surgery in Raleigh

See the full list for North Carolina

Where these figures come from

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