Payment overview · 2025
General Payments
$15,833.08
41 reported records · 15 companies
Healthcare provider profile · identity verified
Chad R Manke, MD
Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery · VA BEACH, VA · NPI 1114965159
Verified facts
What the public records show
CMS Open Payments records show Chad R Manke, MD received $15,833.08 in general payments during 2025 across 41 reported records.
Zimmer Biomet Holdings, Inc. accounted for 86.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. | Unresolved — no canonical attribution shown | $13,660.79 | 86.3% | 18 | 2025 |
| Fortis Surgical, LLC | Unresolved — no canonical attribution shown | $655.57 | 4.1% | 3 | 2025 |
| EXACTECH, INC. | Unresolved — no canonical attribution shown | $389.11 | 2.5% | 3 | 2025 |
| Arthrex, Inc. | Unresolved — no canonical attribution shown | $268.20 | 1.7% | 2 | 2025 |
| Shoulder Innovations, Inc. | Unresolved — no canonical attribution shown | $145.06 | 0.9% | 2 | 2025 |
| Flower Orthopedics Coporation | Unresolved — no canonical attribution shown | $142.85 | 0.9% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $136.19 | 0.9% | 2 | 2025 |
| ENCORE MEDICAL, LP | Unresolved — no canonical attribution shown | $130.93 | 0.8% | 1 | 2025 |
| Medacta USA, Inc. | Unresolved — no canonical attribution shown | $101.67 | 0.6% | 1 | 2025 |
| Endo USA, Inc. | Unresolved — no canonical attribution shown | $58.34 | 0.4% | 3 | 2025 |
| DePuy Synthes Sales Inc. | Unresolved — no canonical attribution shown | $53.93 | 0.3% | 1 | 2025 |
| Davol Inc. | Unresolved — no canonical attribution shown | $27.70 | 0.2% | 1 | 2025 |
| Innovation Technologies Inc | Unresolved — no canonical attribution shown | $23.48 | 0.1% | 1 | 2025 |
| Anika Therapeutics, Inc. | Unresolved — no canonical attribution shown | $20.60 | 0.1% | 1 | 2025 |
| Bioventus LLC | Unresolved — no canonical attribution shown | $18.66 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $12,375.00 | 6 |
| Food and Beverage | $1,922.53 | 28 |
| Travel and Lodging | $1,453.30 | 6 |
| Acquisitions | $82.25 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| EQUINOXE Normalized: equinoxe |
Device | EXACTECH, INC. | $389.11 | 3 | 2025 |
Source payment records
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| ActivBraid Normalized: activbraid |
Device | Zimmer Biomet Holdings, Inc. | $157.42 | 1 | 2025 |
Source payment records
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| InSet System Normalized: inset system |
Device | Shoulder Innovations, Inc. | $145.06 | 2 | 2025 |
Source payment records
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| Comprehensive Normalized: comprehensive |
Device | Zimmer Biomet Holdings, Inc. | $136.01 | 1 | 2025 |
Source payment records
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| Reverse Shoulder Normalized: reverse shoulder |
Device | Medacta USA, Inc. | $101.67 | 1 | 2025 |
Source payment records
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| XIAFLEX Normalized: xiaflex |
Biological | Endo USA, Inc. | $58.34 | 3 | 2025 |
Source payment records
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| N/A Normalized: n a |
Device | DePuy Synthes Sales Inc. | $53.93 | 1 | 2025 |
Source payment records
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| ARISTA Normalized: arista |
Device | Davol Inc. | $27.70 | 1 | 2025 |
Source payment records
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| IRRISEPT Normalized: irrisept |
Device | Innovation Technologies Inc | $23.48 | 1 | 2025 |
Source payment records
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| Integrity Implant Normalized: integrity implant |
Device | Anika Therapeutics, Inc. | $20.60 | 1 | 2025 |
Source payment records
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| EXOGEN ULTRASOUND BONE HEALING SYSTEM Normalized: exogen ultrasound bone healing system |
Device | Bioventus LLC | $18.66 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $14.20 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 105 | 90 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 65 | 55 |
| Ondansetron Odt | Ondansetron | 65 | 65 |
| Ondansetron Hcl | Ondansetron Hcl | 45 | 43 |
| Tramadol Hcl | Tramadol Hcl | 16 | 12 |
| Meloxicam | Meloxicam | 15 | 12 |
| Methylprednisolone | Methylprednisolone | 11 | 11 |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $15,833.08 · 41 records | Zimmer Biomet Holdings, Inc. | ARISTA, ActivBraid, Comprehensive, EQUINOXE, EXOGEN ULTRASOUND BONE HEALING SYSTEM, IRRISEPT, InSet System, Integrity Implant, JOURNAVX, N/A, Reverse Shoulder, XIAFLEX | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error