Travis Littleton, MD
Hand Surgery · Atlanta, GANPI 1437592060
Payments from drug & device makers
What this record shows
This record is dominated by education: $25,106 of the $35,320 with a category attached, or 71.1%. Skeletal Dynamics Inc accounts for 80.5% of it on its own, with 15 other manufacturers making up the rest. Among hand surgery clinicians in GA 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.
Across 67 payments — averaging $527.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$28K
- Stryker$2K
- Exactech, Inc.$2K
- United Orthopedics LLC$1K
- Linvatec Corporation$632
- Acumed LLC$343
- plus $916 from 10 others
What the payments were for
- Speaking & faculty fees$470%
- Travel & lodging$5,44915%
- Food & beverage$4,62413%
- Education$25,10671%
- Gifts$940%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 25 | $28,420 |
| Stryker(2 entities) | 14 | $2,143 |
| Exactech, Inc. | 3 | $1,760 |
| United Orthopedics LLC | 1 | $1,106 |
| Linvatec Corporation | 3 | $632 |
| Acumed LLC | 5 | $343 |
| Extremity Medical | 1 | $235 |
| Endo Pharmaceuticals Inc. | 4 | $168 |
| Anika Therapeutics, Inc. | 1 | $114 |
| Innovation Technologies Inc | 2 | $110 |
| Johnson & Johnson | 1 | $101 |
| Globus Medical | 1 | $52 |
| Smith+Nephew | 3 | $48 |
| Alafair Biosciences, Inc. | 1 | $42 |
| Bioventus LLC | 1 | $29 |
| Axogen | 1 | $18 |
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$27,907
- Align$27,907
- IJS$27,907
- Implate$27,907
- EQUINOXE$1,708
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$765
- Ascend Flex$644
- LINVATEC KNEE PRESERVATION SYSTEM$610
- LINVATEC SHOULDER ARTHROSCOPY$610
- KinematX$235
- XIAFLEX$148
- Acu-Loc Wrist Plating System$146
- Acutrak Headless Compression Screw System$146
- Hand Fracture System$146
- ACUMED$137
- PERFORM GLENOID$135
- OVOMotion$114
- VA-LCP$101
How this compares
$35,320 in reported general payments places this provider in the 90th percentile of 77 hand surgery providers in Georgia.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ibuprofen | 219 | $1,403 |
| Meloxicam | 582 | $1,297 |
| Ondansetron Hcl | 161 | $842 |
| Methocarbamol | 78 | $354 |
| Oxycodone Hcl | 103 | $347 |
| Naproxen | 29 | $247 |
| Tizanidine Hcl | 16 | $187 |
| Vitamin D2Ergocalciferol (Vitamin D2) | 23 | $169 |
| Prednisone | 107 | $141 |
| Tramadol Hcl | 24 | $43 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Atlanta
- Eric WagnerAtlanta$173K
- Phani DantuluriAtlanta$120K
- Nicole ZelenskiAtlanta$34K
- James SprattAtlanta$18K
- Jim RoderiqueAtlanta$14K
- Bryce GillespieAtlanta$10K
- Andy ChangAtlanta$7K
- Randall AlexanderAtlanta$7K
- Catphuong VuAtlanta$3K
- Obinwanne UgwonaliAtlanta$3K
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.