Alejandro Verdugo, MD
Hand Surgery · Lubbock, TXNPI 1679885297
Payments from drug & device makers
What this record shows
32 manufacturers reported payments, led by Smith+Nephew at 48.6% of the total. 2025 is the largest year on record at $4,798, more than ten times the $133 reported in 2019.
Across 138 payments — averaging $70.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$5K
- Axogen$2K
- Anika Therapeutics, Inc.$823
- Pacira Therapeutics, Inc.$297
- Zimmer Biomet$285
- Stryker$148
- plus $1K from 26 others
What the payments were for
- Travel & lodging$5,70659%
- Food & beverage$3,99641%
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 |
|---|---|---|
| Smith+Nephew | 29 | $4,711 |
| Axogen | 9 | $2,014 |
| Anika Therapeutics, Inc. | 3 | $823 |
| Pacira Therapeutics, Inc. | 32 | $297 |
| Zimmer Biomet | 3 | $285 |
| Stryker | 3 | $148 |
| Amgen(2 entities) | 8 | $142 |
| Arthrex | 2 | $142 |
| Linvatec Corporation | 1 | $139 |
| Ferring Pharmaceuticals Inc. | 7 | $112 |
| Johnson & Johnson | 3 | $96 |
| Pacira Pharmaceuticals Incorporated | 5 | $93 |
| Baudax Bio Inc. | 3 | $72 |
| Boston Scientific | 1 | $60 |
| Baxter Healthcare | 2 | $57 |
| Orthofix Medical, Inc. | 4 | $52 |
| AbbVie | 2 | $48 |
| Rattan And Associates | 2 | $46 |
| Bioventus LLC | 2 | $45 |
| Tactile Systems Technology Inc | 3 | $42 |
| Globus Medical | 1 | $35 |
| Solventum Corporation | 1 | $33 |
| Kowa Pharmaceuticals America, Inc. | 2 | $31 |
| Merck | 2 | $29 |
| Heron Therapeutics, Inc. | 1 | $28 |
| Nalu Medical, Inc. | 1 | $22 |
| Illuminoss Medical, Inc. | 1 | $22 |
| Endo USA, Inc. | 1 | $20 |
| Kerecis Limited | 1 | $18 |
| Ossur Americas, Inc. | 1 | $14 |
| Advanced Oxygen Therapy Inc. | 1 | $13 |
| Avanos Medical | 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.
- AXOGUARD$3,276
- Q-FIX Hip$1,933
- Hipstruments$1,933
- AXOGUARD HA+ NERVE PROTECTOR$1,638
- AxoGuard Nerve Cap$1,638
- Bioinductive Implant with Arthroscopic Delivery System - Medium$1,480
- Mini-Open Latarjet$1,480
- MICRORAPTOR$1,480
- Q-FIX$1,480
- AETOS Shoulder System$1,480
- HemiCAP Wrist$709
- ACCUPASS DIRECT Crescent XL$418
- ACUFEX Meniscal Root Repair$417
- Healicoil$325
- NA$274
- Comprehensive Shoulder System$198
- LINVATEC HIP PRESERVATION SYSTEM$139
- N/A$137
- LENS$137
- LENS 4K$137
How this compares
$9,702 in reported general payments places this provider in the 70th percentile of 170 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 199 | $2,840 |
| Diclofenac Sodium | 65 | $671 |
| Celecoxib | 24 | $513 |
| Gabapentin | 15 | $194 |
| Meloxicam | 28 | $146 |
| Methylprednisolone | 14 | $64 |
| Tizanidine Hcl | 11 | $43 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lubbock
- Brendan MackayLubbock$274K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.