RxDoctor Payments Data

Timothy Renfree, MD

Hand Surgery · Knoxville, TNNPI 1386602837

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Stryker at 35.2% of the total. Reporting peaked in 2019 at $542 and has fallen 57.4% since, to $231 in 2025. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.

$1,240in general payments, 2019–2025

Across 29 payments — averaging $42.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$437
  • Medartis Inc.$237
  • Radius Health, Inc.$154
  • Johnson & Johnson$137
  • Pacira Therapeutics, Inc.$88
  • Amgen$65
  • plus $123 from 4 others

What the payments were for

  • Food & beverage$1,240100%

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

19
20
22
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
Stryker3$437
Medartis Inc.3$237
Radius Health, Inc.6$154
Johnson & Johnson(2 entities)2$137
Pacira Therapeutics, Inc.7$88
Amgen(2 entities)4$65
Smoky Mountain Surgical LLC1$58
Davol Inc.1$24
Smith+Nephew1$22
Vertex1$19

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

$1,240 in reported general payments places this provider in the 20th percentile of 60 hand surgery providers in Tennessee.

See all hand surgery providers in Tennessee

Medicare billing

Part B allowed, 2024
$223,085
Medicare patients
622
Services billed
2,641

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/Acetaminophen131$711
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen11$43
Tramadol Hcl15$14

Paid to pharmacies, not to this prescriber.

Other hand surgery in Knoxville

See the full list for Tennessee

Where these figures come from

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