Adam Freedhand, MD
Orthopaedic Surgery · Houston, TXNPI 1306888078
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,377,487 of the $1,789,402 with a category attached, or 77.0%. 25 manufacturers reported payments, led by Zimmer Biomet at 59.2% of the total. 2025 is the largest year on record at $856,220, 3.6 times the $235,274 reported in 2019. Among orthopaedic surgery clinicians in TX 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.
Across 719 payments — averaging $2488.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$1.1M
- Encore Medical, LP$405K
- Stryker$321K
- Medinc Of Texas$1K
- Medacta USA, Inc.$650
- Orthalign Inc$604
- plus $2K from 19 others
What the payments were for
- Royalty or licence$241,75614%
- Consulting fees$1,377,48777%
- Travel & lodging$86,0215%
- Food & beverage$20,6061%
- Education$63,5334%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Zimmer Biomet | 164 | $1,058,644 |
| Encore Medical, LP | 199 | $404,733 |
| Stryker | 309 | $321,201 |
| Medinc Of Texas | 2 | $1,141 |
| Medacta USA, Inc. | 10 | $650 |
| Orthalign Inc | 4 | $604 |
| Think Surgical, Inc. | 2 | $402 |
| Conformis, Inc. | 4 | $276 |
| Microport Orthopedics Inc | 3 | $269 |
| Medtronic | 3 | $245 |
| BD | 1 | $181 |
| Restor3d, Inc. | 1 | $163 |
| Exactech, Inc. | 1 | $155 |
| Smith+Nephew | 1 | $144 |
| Davol Inc. | 1 | $138 |
| Biocomposites Inc | 1 | $111 |
| Orthosensor Inc. | 2 | $74 |
| Pacira Pharmaceuticals Incorporated | 3 | $70 |
| Johnson & Johnson | 1 | $40 |
| Onkos Surgical, Inc. | 1 | $36 |
| Nalu Medical, Inc. | 1 | $34 |
| Ferring Pharmaceuticals Inc. | 2 | $34 |
| Bioventus LLC | 1 | $25 |
| Amgen | 1 | $16 |
| Vertex | 1 | $15 |
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.
- DJO SURGICAL$353,890
- MAKO$276,363
- Avenir$51,783
- Arcos$51,783
- DJO Surgical TaperFill Hip System$45,760
- DJO Surgical Empowr Acetabular System$41,392
- G7$36,575
- TRIATHLON$24,159
- DJO Surgical 3DKnee System$13,554
- XIA$13,000
- MANTIS$13,000
- DJO Surgical FMP Acetabular System$12,375
- Persona$11,292
- DJO Surgical Empowr Knee System$7,289
- DJO Surgical Exprt Revision Hip$6,505
- PERFORMANCE SOLUTIONS$4,188
- DJO Surgical CLP Hip System$3,469
- TRITANIUM$2,500
- ACCOLADE$2,358
- ROSA$1,831
How this compares
$1,789,402 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic surgery providers in Texas.
Medicare billing
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 162 | $4,243 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 267 | $3,648 |
| Meloxicam | 238 | $806 |
| Diclofenac Sodium | 12 | $339 |
| Methylprednisolone | 38 | $228 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $212 |
| Ondansetron Hcl | 16 | $206 |
| Gabapentin | 35 | $182 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $174 |
| Ibuprofen | 22 | $154 |
| Tramadol Hcl | 22 | $87 |
| Amoxicillin | 88 | $70 |
| Clindamycin Hcl | 38 | $49 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Houston
- Stefan KreuzerHouston$6.2M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- Jeffrey KozakHouston$1.1M
- Travis HansonHouston$1M
- Thomas TanousHouston$698K
- Alan RechterHouston$605K
- Ugonna IhekweazuHouston$544K
- Darrell HansonHouston$284K
- Stephen BurkhartSan Antonio$185.3M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.