Payment overview · 2025
General Payments
$1,487.60
27 reported records · 13 companies
Healthcare provider profile · identity verified
Jefrey Ralph-Alan Fishman, MD
Allopathic & Osteopathic Physicians|Plastic Surgery|Surgery of the Hand · TROY, MI · NPI 1144238593
Verified facts
What the public records show
CMS Open Payments records show Jefrey Ralph-Alan Fishman, MD received $1,487.60 in general payments during 2025 across 27 reported records.
Kerecis Limited accounted for 20.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 17 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 |
|---|---|---|---|---|---|
| Kerecis Limited | Unresolved — no canonical attribution shown | $311.22 | 20.9% | 3 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $192.29 | 12.9% | 4 | 2025 |
| Solventum Corporation | Unresolved — no canonical attribution shown | $170.89 | 11.5% | 2 | 2025 |
| AXOGEN | Unresolved — no canonical attribution shown | $155.28 | 10.4% | 1 | 2025 |
| PolyNovo North America LLC | Unresolved — no canonical attribution shown | $129.97 | 8.7% | 4 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $126.07 | 8.5% | 1 | 2025 |
| REVANCE THERAPEUTICS, INC. | Unresolved — no canonical attribution shown | $124.50 | 8.4% | 2 | 2025 |
| Avita Medical Americas, LLC | Unresolved — no canonical attribution shown | $86.28 | 5.8% | 2 | 2025 |
| Mentor Worldwide LLC | Unresolved — no canonical attribution shown | $83.57 | 5.6% | 3 | 2025 |
| Baxter Healthcare | Unresolved — no canonical attribution shown | $44.76 | 3.0% | 2 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$25.90 | 1.7% | 1 | 2025 |
| MIMEDX Group, Inc. | Unresolved — no canonical attribution shown | $19.92 | 1.3% | 1 | 2025 |
| TELA Bio, Inc. | Unresolved — no canonical attribution shown | $16.95 | 1.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,487.60 | 27 |
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 |
|---|---|---|---|---|---|
| Kerecis GraftGuide Normalized: kerecis graftguide |
Device | Kerecis Limited | $311.22 | 3 | 2025 |
Source payment records
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| Kerecis SurgiClose Normalized: kerecis surgiclose |
Device | Kerecis Limited | $311.22 | 3 | 2025 |
Source payment records
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| PREVENA Normalized: prevena |
Device | Solventum Corporation | $170.89 | 2 | 2025 |
Source payment records
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| NATRELLE SALINE-FILLED BREAST IMPLANTS Normalized: natrelle saline filled breast implants |
Device | ABBVIE INC. | $147.20 | 1 | 2025 |
Source payment records
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| NOVOSORB BTM Normalized: novosorb btm |
Device | PolyNovo North America LLC | $129.97 | 4 | 2025 |
Source payment records
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| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $126.07 | 1 | 2025 |
Source payment records
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| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $126.07 | 1 | 2025 |
Source payment records
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| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $126.07 | 1 | 2025 |
Source payment records
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| DAXXIFY Normalized: daxxify |
Drug | REVANCE THERAPEUTICS, INC. | $124.50 | 2 | 2025 |
Source payment records
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| Cohealyx Normalized: cohealyx |
Device | Avita Medical Americas, LLC | $86.28 | 2 | 2025 |
Source payment records
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| Permeaderm Normalized: permeaderm |
Device | Avita Medical Americas, LLC | $86.28 | 2 | 2025 |
Source payment records
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| Recell Normalized: recell |
Device | Avita Medical Americas, LLC | $86.28 | 2 | 2025 |
Source payment records
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| MENTOR MemoryGel Resterilizable Gel Sizer Normalized: mentor memorygel resterilizable gel sizer |
Device | Mentor Worldwide LLC | $83.57 | 3 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $45.09 | 3 | 2025 |
Source payment records
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| ARTISS Normalized: artiss |
Biological | Baxter Healthcare | $44.76 | 2 | 2025 |
Source payment records
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| V-LOC 180 Normalized: v loc 180 |
Device | Medtronic, Inc. | $25.90 | 1 | 2025 |
Source payment records
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| OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) Normalized: ovitex reinforced bioscaffold with permanent polymer ovitex |
Device | TELA Bio, Inc. | $16.95 | 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 |
|---|---|---|---|
| Valacyclovir | Valacyclovir Hcl | 15 | 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 | $1,487.60 · 27 records | Kerecis Limited | ARTISS, BOTOX, Cohealyx, DAXXIFY, Integra, Integra Dermal Regeneration Template, Kerecis GraftGuide, Kerecis SurgiClose, MENTOR MemoryGel Resterilizable Gel Sizer, NATRELLE SALINE-FILLED BREAST IMPLANTS, NOVOSORB BTM, OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex), PREVENA, PRIMATRIX, Permeaderm, Recell, V-LOC 180 | — | — |
| 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