Trevor Starnes, MD
Surgery of the Hand · Marietta, GANPI 1154535797
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $4,050 of the $4,976 with a category attached, or 81.4%. Synthes USA Products LLC accounts for 95.0% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2020 at $4,762 and has fallen 99.0% since, to $48 in 2025.
Across 15 payments — averaging $331.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes USA Products LLC$5K
- Zimmer Biomet$110
- Acumed LLC$48
- Amgen$39
- Johnson & Johnson$19
- Endo USA, Inc.$17
- plus $16 from 1 others
What the payments were for
- Consulting fees$4,05081%
- Travel & lodging$64713%
- Food & beverage$2786%
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 |
|---|---|---|
| Synthes USA Products LLC | 8 | $4,727 |
| Zimmer Biomet | 1 | $110 |
| Acumed LLC | 1 | $48 |
| Amgen | 2 | $39 |
| Johnson & Johnson | 1 | $19 |
| Endo USA, Inc. | 1 | $17 |
| Avanos Medical | 1 | $16 |
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
Too few surgery of the hand providers in Georgiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $426 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 52 | $359 |
| Methylprednisolone | 30 | $125 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $103 |
| Tramadol Hcl | 31 | $76 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Marietta
- Brandy CrossMarietta$5K
- Snehal DalalJohns Creek$20K
- Travis FarmerRincon$17K
- Daniel HoltzAcworth$6K
- Cesar Molina AndradeSmyrna$5K
- Samuel PayneAtlanta$2K
- Virginia JonesNewnan$2K
- Amit PatelSmyrna$566
- Steven WatsonSmyrna$146
- Michael MangononNorcross$36
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.