Alberto Panero, DO
Sports Medicine · Sacramento, CANPI 1962733998
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (57.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 95.0% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $128,075, 3.8 times the $33,367 reported in 2019. Among sports medicine clinicians in CA 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 337 payments — averaging $1155.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$370K
- Trice Medical, Inc.$9K
- Clarius Mobile Health Corp.$6K
- Sequoia Surgical, Inc.$2K
- Bioventus LLC$519
- Stryker$323
- plus $762 from 8 others
Across 7 payments — averaging $9683.85 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Lifenet Health$65K
- Arthrex$3K
What the payments were for
- Consulting fees$120,34631%
- Speaking & faculty fees$225,43758%
- Travel & lodging$35,9019%
- Food & beverage$5,1911%
- Education$2,4001%
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 |
|---|---|---|
| Arthrex | 294 | $369,813 |
| Trice Medical, Inc. | 11 | $9,444 |
| Clarius Mobile Health Corp. | 2 | $5,990 |
| Sequoia Surgical, Inc. | 4 | $2,424 |
| Bioventus LLC | 10 | $519 |
| Stryker | 2 | $323 |
| Steelhead Surgical Inc | 4 | $263 |
| Johnson & Johnson | 2 | $157 |
| Painteq LLC | 3 | $141 |
| Medtronic | 1 | $94 |
| Evolution Surgical, Inc | 1 | $45 |
| Boston Scientific | 1 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| SPR Therapeutics, Inc | 1 | $12 |
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.
- ARTHREX$15,557
- BIOLOGICS CONSUMABLES AUTOLOGOUS CELLULAR PRODUCTS ANGEL PRP$13,850
- BIOLOGICS CONSUMABLES SOFT TISSUE REPAIR AMNION$9,675
- BIOLOGICS CONSUMABLES BONE REPAIR IOBP$9,675
- BIOLOGICS CONSUMABLES AUTOLOGOUS FAT PRODUCTS ADIPOSE$9,675
- BIOLOGICS CONSUMABLES AUTOLOGOUS CELLULAR PRODUCTS ACP PRP$9,675
- BIOLOGICS CONSUMABLES AUTOLOGOUS CELLULAR PRODUCTS AUTOLOGOUS THROMBIN$1,800
- BIOLOGICS CONSUMABLES HYALURONIC ACID OTHER$400
- SPINEJACK$275
- XCELL$199
- ORTHOVISC$133
- MONOVISC$133
- BIOLOGICS CONSUMABLES AUTOLOGOUS BLOOD PRODUCTS AUTOLOGOUS THROMBIN$118
How this compares
$389,275 in reported general payments places this provider in the 95th percentile of 662 sports medicine providers in California.
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 |
|---|---|---|
| Diazepam | 13 | $7 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Sacramento
- Cassandra LeeSacramento$307K
- Neal ElattracheLos Angeles$51M
- Nathaniel CohenLos Gatos$6.4M
- Thomas KnappSanta Monica$2.5M
- Michael FreehillStanford$1.6M
- Allan MishraMenlo Park$1.5M
- Heinz Hoeneckela Jolla$1.4M
- Seth ShermanStanford$1.1M
- Stephan YacoubianBurbank$1M
- Stephen Snydervan Nuys$922K
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.