Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

STEPHEN REFSLAND

Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery

NPI
1922329572
CMS profile
588921
Location
PHILADELPHIA, PA

General Payments · PY2018–2024

$4,970.09

  • Reported across 90 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,509.48

45 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,321.69 3
Food and Beverage $1,187.79 42

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $33.08 2
PY2019 $507.69 16
PY2020 $115.03 2
PY2021 $154.26 4
PY2022 $1,356.38 9
PY2023 $294.17 12
PY2024 $2,509.48 45

Payment records · PY2024 (45)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Arthrex, Inc. $22.14 05/07/2024 Food and Beverage Undisputed 01/23/2026 1146557982 CMS
Arthrex, Inc. $29.51 05/19/2024 Food and Beverage Undisputed 01/23/2026 1146557984 CMS
Electronic Waveform Lab, Inc. $23.15 01/18/2024 Food and Beverage Undisputed 01/23/2026 1089550371 CMS
Electronic Waveform Lab, Inc. $29.90 01/30/2024 Food and Beverage Undisputed 01/23/2026 1089550547 CMS
Electronic Waveform Lab, Inc. $17.40 04/16/2024 Food and Beverage Undisputed 01/23/2026 1089551321 CMS
Electronic Waveform Lab, Inc. $11.25 04/29/2024 Food and Beverage Undisputed 01/23/2026 1089551447 CMS
Electronic Waveform Lab, Inc. $21.34 06/19/2024 Food and Beverage Undisputed 01/23/2026 1089551873 CMS
Gemini Mountain Medical, LLC $462.22 05/02/2024 Travel and Lodging Undisputed 01/23/2026 1119751898 CMS
Gemini Mountain Medical, LLC $60.07 05/17/2024 Food and Beverage Undisputed 01/23/2026 1119751900 CMS
Gemini Mountain Medical, LLC $78.24 05/18/2024 Food and Beverage Undisputed 01/23/2026 1119751902 CMS
Sonex Health, Inc. $18.80 07/24/2024 Food and Beverage Undisputed 01/23/2026 1134569238 CMS
Sonex Health, Inc. $7.66 08/05/2024 Food and Beverage Undisputed 01/23/2026 1134568662 CMS
Sonex Health, Inc. $20.36 08/05/2024 Food and Beverage Undisputed 01/23/2026 1134569346 CMS
Sonex Health, Inc. $24.22 08/13/2024 Food and Beverage Undisputed 01/23/2026 1134569490 CMS
Sonex Health, Inc. $10.21 08/19/2024 Food and Beverage Undisputed 01/23/2026 1134568744 CMS
Sonex Health, Inc. $23.01 08/21/2024 Food and Beverage Undisputed 01/23/2026 1134569436 CMS
Sonex Health, Inc. $25.27 08/26/2024 Food and Beverage Undisputed 01/23/2026 1134569522 CMS
Sonex Health, Inc. $19.57 09/06/2024 Food and Beverage Undisputed 01/23/2026 1134569306 CMS
Sonex Health, Inc. $20.24 09/08/2024 Food and Beverage Undisputed 01/23/2026 1134569340 CMS
Sonex Health, Inc. $10.62 09/10/2024 Food and Beverage Undisputed 01/23/2026 1134568756 CMS
Sonex Health, Inc. $16.67 09/10/2024 Food and Beverage Undisputed 01/23/2026 1134569120 CMS
Sonex Health, Inc. $9.80 09/17/2024 Food and Beverage Undisputed 01/23/2026 1134568714 CMS
Sonex Health, Inc. $291.01 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1134570686 CMS
Sonex Health, Inc. $568.46 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1134570943 CMS
Sonex Health, Inc. $158.35 09/17/2024 Food and Beverage Undisputed 01/23/2026 1134571241 CMS
Sonex Health, Inc. $22.46 09/18/2024 Food and Beverage Undisputed 01/23/2026 1134569414 CMS
Sonex Health, Inc. $32.32 09/18/2024 Food and Beverage Undisputed 01/23/2026 1134569684 CMS
Sonex Health, Inc. $12.77 09/24/2024 Food and Beverage Undisputed 01/23/2026 1134568840 CMS
Sonex Health, Inc. $17.66 09/24/2024 Food and Beverage Undisputed 01/23/2026 1134569170 CMS
Sonex Health, Inc. $7.42 09/30/2024 Food and Beverage Undisputed 01/23/2026 1134568654 CMS
Sonex Health, Inc. $7.73 09/30/2024 Food and Beverage Undisputed 01/23/2026 1134568668 CMS
Sonex Health, Inc. $14.35 09/30/2024 Food and Beverage Undisputed 01/23/2026 1134568942 CMS
Sonex Health, Inc. $16.23 10/07/2024 Food and Beverage Undisputed 01/23/2026 1134569102 CMS
Sonex Health, Inc. $156.89 10/15/2024 Food and Beverage Undisputed 01/23/2026 1134570368 CMS
Sonex Health, Inc. $22.80 10/30/2024 Food and Beverage Undisputed 01/23/2026 1134569426 CMS
Sonex Health, Inc. $28.88 11/04/2024 Food and Beverage Undisputed 01/23/2026 1134569620 CMS
Sonex Health, Inc. $13.75 11/10/2024 Food and Beverage Undisputed 01/23/2026 1134568900 CMS
Sonex Health, Inc. $7.35 11/11/2024 Food and Beverage Undisputed 01/23/2026 1134568652 CMS
Sonex Health, Inc. $6.29 12/02/2024 Food and Beverage Undisputed 01/23/2026 1134568610 CMS
Sonex Health, Inc. $7.43 12/02/2024 Food and Beverage Undisputed 01/23/2026 1134568656 CMS
Sonex Health, Inc. $6.03 12/16/2024 Food and Beverage Undisputed 01/23/2026 1134568602 CMS
Sonex Health, Inc. $29.37 12/16/2024 Food and Beverage Undisputed 01/23/2026 1134569648 CMS
Sonex Health, Inc. $61.49 12/16/2024 Food and Beverage Undisputed 01/23/2026 1134569912 CMS
VERTEX PHARMACEUTICALS INCORPORATED $33.79 08/23/2024 Food and Beverage Undisputed 01/23/2026 1105912508 CMS
Zimmer Biomet Holdings, Inc. $25.00 03/07/2024 Food and Beverage Undisputed 01/23/2026 1155002311 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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