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Youssra Marjoua, MD

Hand Surgery · Cleveland, OHNPI 1306130398

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (44.5%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Skeletal Dynamics Inc at 47.9% of the total. Reporting peaked in 2023 at $33,723 and has fallen 57.5% since, to $14,343 in 2025. Among hand surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$92,724in general payments, 2019–2025

Across 126 payments — averaging $735.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Skeletal Dynamics Inc$44K
  • Axogen$38K
  • Arthrex$4K
  • Extremity Medical$2K
  • Supreme Orthopedic Systems, LLC$861
  • Kairos Surgical Inc$749
  • plus $2K from 16 others
$27,200in research payments, 2019–2025

Across 3 payments — averaging $9066.67 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Axogen$27K

What the payments were for

  • Consulting fees$3,7754%
  • Speaking & faculty fees$33,39136%
  • Travel & lodging$6,0697%
  • Food & beverage$8,2409%
  • Education$41,24944%

General payments by program year

19
20
21
22
23
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
Skeletal Dynamics Inc30$44,427
Axogen52$38,431
Arthrex11$4,306
Extremity Medical1$1,500
Supreme Orthopedic Systems, LLC3$861
Kairos Surgical Inc1$749
Renerve Ltd3$471
Endo USA, Inc.4$440
Acumed LLC3$268
Integra Lifesciences Corporation1$176
Biocircuit Technologies Inc1$150
Tulavi Therapeutics, Inc.1$147
In2bones USA, LLC2$134
Polynovo North America LLC1$123
Anika Therapeutics, Inc.1$111
Stryker3$106
Smith+Nephew1$89
Trice Medical, Inc.1$64
Linvatec Corporation1$61
Medartis Inc.2$45
Endo Pharmaceuticals Inc.2$44
Rock Medical Orthopedics, Inc.1$23

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

$92,724 in reported general payments places this provider in the 95th percentile of 88 hand surgery providers in Ohio.

See all hand surgery providers in Ohio →

Medicare billing

Part B allowed, 2024
$83,818
Medicare patients
179
Services billed
459

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 hand surgery in Cleveland

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Where these figures come from

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