RxDoctor Payments Data

Arvind Nana, MD

Orthopaedic Trauma · Fort Worth, TXNPI 1679515340

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (57.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 23.2%. Reporting peaked in 2019 at $3,146 and has fallen 81.0% since, to $598 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in TX, where the typical reported total is $14,950.

$6,862in general payments, 2019–2025

Across 55 payments — averaging $124.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nuvasive Specialized Orthopedics, Inc.$2K
  • Axogen$1K
  • Bone Support Inc.$1K
  • Stryker$835
  • Johnson & Johnson$486
  • Globus Medical$448
  • plus $908 from 11 others

What the payments were for

  • Consulting fees$1,00015%
  • Travel & lodging$1,56623%
  • Food & beverage$3,93857%
  • Education$3595%

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

19
20
21
22
23
24
25

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.

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.

How this compares

$6,862 in reported general payments places this provider in the 30th percentile of 74 orthopaedic trauma providers in Texas.

See all orthopaedic trauma providers in Texas

Medicare billing

Part B allowed, 2024
$69,521
Medicare patients
71
Services billed
304

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen13$116

Paid to pharmacies, not to this prescriber.

Other orthopaedic trauma in Fort Worth

See the full list for Texas

Where these figures come from

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