Vikas Dhawan, MD
Surgery of the Hand · Saint Louis, MONPI 1932349792
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,107 of the $16,396 with a category attached, or 73.8%. 15 manufacturers reported payments, led by Elite Orthopedics, LLC at 51.8% of the total. Reporting peaked in 2021 at $7,568 and has fallen 50.0% since, to $3,780 in 2025.
Across 60 payments — averaging $273.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$8K
- Arthrex$3K
- Acumed LLC$2K
- Axogen$1K
- Integra Lifesciences Corporation$651
- Johnson & Johnson$193
- plus $313 from 9 others
What the payments were for
- Travel & lodging$2,18913%
- Food & beverage$1,68110%
- Education$12,10774%
- Other$4203%
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 |
|---|---|---|
| Elite Orthopedics, LLC | 19 | $8,499 |
| Arthrex | 9 | $3,047 |
| Acumed LLC | 1 | $2,357 |
| Axogen | 11 | $1,337 |
| Integra Lifesciences Corporation | 6 | $651 |
| Johnson & Johnson | 3 | $193 |
| Osteocentric Technologies, Inc. | 1 | $75 |
| Amgen | 1 | $50 |
| Stryker | 1 | $46 |
| Zimmer Biomet | 2 | $39 |
| Endo Pharmaceuticals Inc. | 2 | $28 |
| Sanara Medtech Inc. | 1 | $23 |
| Kerecis Limited | 1 | $23 |
| Endo USA, Inc. | 1 | $17 |
| Ossur Americas, Inc. | 1 | $12 |
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.
- INnate Implant$2,357
- AXOGUARD$2,209
- AXOGUARD HA+ NERVE PROTECTOR$1,105
- AxoGuard Nerve Cap$1,105
- INTEGRA$454
- AMNIOEXCEL$420
- INTEGRA DERMAL REGENERATION TEMPLATE$151
- PRIMATRIX$151
- NA$150
How this compares
$16,396 in reported general payments places this provider in the 75th percentile of 30 surgery of the hand providers in Missouri.
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.
Other surgery of the hand in Saint Louis
- Jason StrelzowSaint Louis$161K
- Charles GoldfarbSaint Louis$121K
- Christopher DySaint Louis$106K
- David BroganSaint Louis$55K
- Sarah RidenourSaint Louis$34K
- Marie MorrisSaint Louis$15K
- Nicholas RobbinsSaint Louis$15K
- Pradeep AttaluriSaint Louis$10K
- Martin BoyerSaint Louis$3K
- Jana DenglerSaint Louis$2K
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.