Trent Gause, MD
Hand Surgery · Pittsburgh, PANPI 1811359359
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,800 of the $7,734 with a category attached, or 62.1%. Mid-atlantic Surgical Systems, LLC accounts for 76.2% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $3,600 and has fallen 96.5% since, to $127 in 2025.
Across 32 payments — averaging $241.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mid-atlantic Surgical Systems, LLC$6K
- Arthrex$1K
- Medartis Inc.$305
- Catalyst Orthoscience$127
- Smith+Nephew$124
- Exactech, Inc.$107
- plus $75 from 1 others
What the payments were for
- Travel & lodging$1,84024%
- Food & beverage$1,09414%
- Education$4,80062%
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 |
|---|---|---|
| Mid-atlantic Surgical Systems, LLC | 9 | $5,891 |
| Arthrex | 17 | $1,105 |
| Medartis Inc. | 2 | $305 |
| Catalyst Orthoscience | 1 | $127 |
| Smith+Nephew | 1 | $124 |
| Exactech, Inc. | 1 | $107 |
| Stryker | 1 | $75 |
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.
- APTUS$305
- AETOS Shoulder System$124
- EQUINOXE$107
How this compares
$7,734 in reported general payments places this provider in the 65th percentile of 110 hand surgery providers in Pennsylvania.
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 |
|---|---|---|
| Methylprednisolone | 17 | $208 |
| Meloxicam | 43 | $78 |
| Cephalexin | 13 | $14 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Pittsburgh
- Mark BaratzPittsburgh$112K
- Peter TangPittsburgh$85K
- Bradley PalmerPittsburgh$4K
- Jennifer D'auriaPittsburgh$3K
- Thomas GrahamAllentown$1.4M
- Randall CulpPlains$358K
- Asif IlyasBryn Mawr$295K
- Arthur OstermanKing Of Prussia$198K
- Meredith OstermanKing Of Prussia$196K
- Adam StrohlPhiladelphia$175K
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.