Payment overview · 2025
General Payments
$60,245.33
90 reported records · 8 companies
Healthcare provider profile · identity verified
Erich Stephan Lemker, M.D.
Allopathic & Osteopathic Physicians|Surgery|Plastic and Reconstructive Surgery · FRESNO, CA · NPI 1568622355
Verified facts
What the public records show
CMS Open Payments records show Erich Stephan Lemker, M.D. received $60,245.33 in general payments during 2025 across 90 reported records.
Smith+Nephew, Inc. accounted for 96.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 30 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 |
|---|---|---|---|---|---|
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $58,016.98 | 96.3% | 61 | 2025 |
| Mentor Worldwide LLC | Unresolved — no canonical attribution shown | $1,326.71 | 2.2% | 17 | 2025 |
| Musculoskeletal Transplant Foundation Inc. | Unresolved — no canonical attribution shown | $320.89 | 0.5% | 4 | 2025 |
| Urgo Medical North America, LLC | Unresolved — no canonical attribution shown | $260.66 | 0.4% | 2 | 2025 |
| Acera Surgical, Inc. | Unresolved — no canonical attribution shown | $227.38 | 0.4% | 2 | 2025 |
| DePuy Synthes Sales Inc. | Unresolved — no canonical attribution shown | $40.81 | 0.1% | 2 | 2025 |
| Avita Medical Americas, LLC | Unresolved — no canonical attribution shown | $28.41 | 0.1% | 1 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $23.49 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $29,137.50 | 8 |
| Consulting Fee | $19,621.88 | 8 |
| Travel and Lodging | $7,346.61 | 17 |
| Food and Beverage | $4,139.34 | 57 |
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 |
|---|---|---|---|---|---|
| RENASYS TOUCH Normalized: renasys touch |
Device | Smith+Nephew, Inc. | $48,989.72 | 41 | 2025 |
Source payment records
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| GRAFIX Normalized: grafix |
Biological | Smith+Nephew, Inc. | $5,643.93 | 3 | 2025 |
Source payment records
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| GRAFIX PL Normalized: grafix pl |
Biological | Smith+Nephew, Inc. | $5,612.88 | 3 | 2025 |
Source payment records
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| GRAFIX XC Normalized: grafix xc |
Biological | Smith+Nephew, Inc. | $5,578.13 | 2 | 2025 |
Source payment records
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| NA Normalized: na |
Device | Smith+Nephew, Inc. | $5,315.63 | 1 | 2025 |
Source payment records
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| PICO Normalized: pico |
Device | Smith+Nephew, Inc. | $2,421.67 | 5 | 2025 |
Source payment records
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| COLLAGENASE SANTYL Normalized: collagenase santyl |
Drug | Smith+Nephew, Inc. | $2,262.56 | 6 | 2025 |
Source payment records
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| RENASYS GO v2 HOME Normalized: renasys go v2 home |
Device | Smith+Nephew, Inc. | $1,837.50 | 2 | 2025 |
Source payment records
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| Renasys Normalized: renasys |
Device | Smith+Nephew, Inc. | $1,837.50 | 2 | 2025 |
Source payment records
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| STRAVIX PL Normalized: stravix pl |
Biological | Smith+Nephew, Inc. | $1,227.65 | 3 | 2025 |
Source payment records
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| OASIS Normalized: oasis |
Device | Smith+Nephew, Inc. | $1,136.76 | 2 | 2025 |
Source payment records
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| MENTOR MemoryGel Resterilizable Gel Sizer Normalized: mentor memorygel resterilizable gel sizer |
Device | Mentor Worldwide LLC | $791.33 | 13 | 2025 |
Source payment records
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| RENOVATION Normalized: renovation |
Device | Smith+Nephew, Inc. | $656.25 | 1 | 2025 |
Source payment records
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| STRAVIX Normalized: stravix |
Biological | Smith+Nephew, Inc. | $654.49 | 3 | 2025 |
Source payment records
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| MENTOR CPX 2 Breast Tissue Expander Normalized: mentor cpx 2 breast tissue expander |
Device | Mentor Worldwide LLC | $267.69 | 2 | 2025 |
Source payment records
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| Pico 14 Normalized: pico 14 |
Device | Smith+Nephew, Inc. | $263.82 | 3 | 2025 |
Source payment records
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| OASIS MICRO Normalized: oasis micro |
Device | Smith+Nephew, Inc. | $262.50 | 1 | 2025 |
Source payment records
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| URGOK2 Normalized: urgok2 |
Device | Urgo Medical North America, LLC | $260.66 | 2 | 2025 |
Source payment records
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| VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP Normalized: vashe wound solution 250 ml 8 5 fl oz flip top cap |
Device | Urgo Medical North America, LLC | $260.66 | 2 | 2025 |
Source payment records
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| Restrata Wound Matrix Normalized: restrata wound matrix |
Device | Acera Surgical, Inc. | $227.38 | 2 | 2025 |
Source payment records
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| PICO 7 Normalized: pico 7 |
Device | Smith+Nephew, Inc. | $153.06 | 1 | 2025 |
Source payment records
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| Cohealyx Normalized: cohealyx |
Device | Avita Medical Americas, LLC | $28.41 | 1 | 2025 |
Source payment records
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| Permeaderm Normalized: permeaderm |
Device | Avita Medical Americas, LLC | $28.41 | 1 | 2025 |
Source payment records
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| Recell Normalized: recell |
Device | Avita Medical Americas, LLC | $28.41 | 1 | 2025 |
Source payment records
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| MATRIXMIDFACE Normalized: matrixmidface |
Device | DePuy Synthes Sales Inc. | $26.67 | 1 | 2025 |
Source payment records
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| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $23.49 | 1 | 2025 |
Source payment records
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| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $23.49 | 1 | 2025 |
Source payment records
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| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $23.49 | 1 | 2025 |
Source payment records
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| MATRIXORTHOGNATHIC Normalized: matrixorthognathic |
Device | DePuy Synthes Sales Inc. | $14.14 | 1 | 2025 |
Source payment records
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| ALLEVYN HEEL 10.5CM X 13.5CM CTN 5 Normalized: allevyn heel 10 5cm x 13 5cm ctn 5 |
Device | Smith+Nephew, Inc. | $4.06 | 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.
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 | $60,245.33 · 90 records | Smith+Nephew, Inc. | ALLEVYN HEEL 10.5CM X 13.5CM CTN 5, COLLAGENASE SANTYL, Cohealyx, GRAFIX, GRAFIX PL, GRAFIX XC, Integra, Integra Dermal Regeneration Template, MATRIXMIDFACE, MATRIXORTHOGNATHIC, MENTOR CPX 2 Breast Tissue Expander, MENTOR MemoryGel Resterilizable Gel Sizer, NA, OASIS, OASIS MICRO, PICO, PICO 7, PRIMATRIX, Permeaderm, Pico 14, RENASYS GO v2 HOME, RENASYS TOUCH, RENOVATION, Recell, Renasys, Restrata Wound Matrix, STRAVIX, STRAVIX PL, URGOK2, VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP | — | — |
| 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