Alfonso Barragan, MD
Surgery of the Hand · Burleson, TXNPI 1851433775
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.9% of the total across 37 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Pylant Medical at 33.9% of the total. That places this record below the midpoint for surgery of the hand clinicians in TX, where the typical reported total is $2,480.
Across 37 payments — averaging $33.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$418
- Amgen$217
- Acumed LLC$138
- Pacira Therapeutics, Inc.$87
- Bioventus LLC$69
- Kerecis Limited$58
- plus $246 from 8 others
What the payments were for
- Speaking & faculty fees$141%
- Food & beverage$1,22099%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Pylant Medical | 5 | $418 |
| Amgen(2 entities) | 12 | $217 |
| Acumed LLC | 1 | $138 |
| Pacira Therapeutics, Inc. | 2 | $87 |
| Bioventus LLC | 4 | $69 |
| Kerecis Limited | 2 | $58 |
| Vertex | 2 | $52 |
| Innovation Technologies Inc | 2 | $50 |
| Endo Pharmaceuticals Inc. | 2 | $39 |
| Stryker | 1 | $28 |
| Dynasplint Systems Inc. | 1 | $23 |
| Exsomed Corporation | 1 | $20 |
| Axogen | 1 | $17 |
| Merck | 1 | $17 |
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.
- Acu-Loc/Acu-Loc 2 Wrist Plating System$138
- Acutrak/Acutrak 2 Screws - Micro, Mini, Std, Fusion$138
How this compares
$1,233 in reported general payments places this provider in the 25th percentile of 68 surgery of the hand 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 |
|---|---|---|
| Methylprednisolone | 208 | $1,776 |
| Celecoxib | 73 | $1,511 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 140 | $1,371 |
| Meloxicam | 162 | $467 |
| Tramadol Hcl | 39 | $221 |
| Naproxen | 12 | $78 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Burleson
- Desirae McKeeLubbock$59K
- Stuart HilliardDenton$21K
- Harrison KayAustin$19K
- Suresh KoneruSan Antonio$17K
- Dustin RayDallas$15K
- Laurence WeiderDallas$13K
- Andrew ZhangDallas$11K
- James HovisArlington$11K
- James LinSpring$10K
- Michael JonesSan Antonio$9K
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.