Anceslo Idicula, MD
Surgery of the Hand · Lubbock, TXNPI 1528446572
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.6%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Trimed, Inc. at 38.7% of the total. Reporting peaked in 2023 at $2,717 and has fallen 84.7% since, to $416 in 2025.
Across 63 payments — averaging $94.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$2K
- Arthrex$1K
- Skeletal Dynamics Inc$845
- Endo Pharmaceuticals Inc.$352
- Axogen$349
- Stryker$200
- plus $784 from 17 others
What the payments were for
- Consulting fees$190%
- Travel & lodging$2,75646%
- Food & beverage$3,20254%
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 |
|---|---|---|
| Trimed, Inc. | 15 | $2,312 |
| Arthrex | 13 | $1,135 |
| Skeletal Dynamics Inc | 3 | $845 |
| Endo Pharmaceuticals Inc. | 6 | $352 |
| Axogen | 4 | $349 |
| Stryker | 2 | $200 |
| Avita Medical Americas, LLC | 1 | $151 |
| Medtronic | 1 | $136 |
| Integra Lifesciences Corporation | 1 | $132 |
| Kerecis Limited | 3 | $51 |
| Acclarent, Inc | 1 | $41 |
| Solventum Corporation | 1 | $31 |
| Orthofix Medical, Inc. | 1 | $30 |
| Endo USA, Inc. | 1 | $28 |
| AbbVie | 2 | $28 |
| Vertex | 1 | $25 |
| Bioventus LLC | 1 | $22 |
| CSL Behring | 1 | $20 |
| Z-medica, LLC | 1 | $19 |
| Sonex Health, Inc. | 1 | $18 |
| Anika Therapeutics, Inc. | 1 | $18 |
| Kls-martin L.p. | 1 | $17 |
| Tactile Systems Technology Inc | 1 | $16 |
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.
- Tools - AFS$1,179
- Geminus$798
- Align$798
- IJS$798
- Implate$798
- AVANCE NERVE GRAFT$277
- XIAFLEX$162
- FIXOS$138
- BIO4$138
- STEALTHSTATION S8 PLATFORM$136
- TENOGLIDE$132
- Tools - WFS$124
How this compares
$5,976 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Gabapentin | 55 | $510 |
| Ibuprofen | 53 | $204 |
| Tramadol Hcl | 50 | $102 |
| Meloxicam | 15 | $31 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Lubbock
- 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.