Bauback Safa
Surgery of the Hand · San Francisco, CANPI 1093833980
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (45.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Axogen accounts for 90.1% of it on its own, with 41 other manufacturers making up the rest. Reporting peaked in 2023 at $56,143 and has fallen 87.2% since, to $7,203 in 2025. Among surgery of the hand 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 279 payments — averaging $618.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$155K
- Alafair Biosciences, Inc.$13K
- Synthes GmbH$500
- AbbVie$357
- Integra Lifesciences Corporation$344
- Smith+Nephew$262
- plus $2K from 36 others
Across 1 payment — averaging $14,353 each. An ownership or investment interest held by the physician or an immediate family member.
- Tulavi Therapeutics, Inc.$14K
What the payments were for
- Consulting fees$48,72528%
- Speaking & faculty fees$78,95646%
- Travel & lodging$27,25616%
- Food & beverage$17,53110%
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.
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.
- AVANCE NERVE GRAFT$123,585
- AxoGuard Nerve Connector$107,750
- AxoGuard Nerve Protector$107,750
- AXOGUARD HA+ NERVE PROTECTOR$33,743
- AxoGuard Nerve Cap$33,743
- VersaWrap$12,975
- AXOGUARD$8,693
- INTEGRA$520
- INTEGRA DERMAL REGENERATION TEMPLATE$173
- PRIMATRIX$173
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$160
- ALLODERM$150
- Phasix Mesh$142
- APTUS$134
- ArcPhix System$100
- INnate Implant$100
- InFrame Implant$100
How this compares
$172,468 in reported general payments places this provider in the 95th percentile of 76 surgery of the hand 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.
Other surgery of the hand in San Francisco
- Robert MarkisonSan Francisco$558
- Michael KulickSan Francisco$413
- Emily Perezla Mirada$56K
- Joshua GluckVentura$26K
- Howard SutkinLos Gatos$22K
- Aaron BergerOakland$14K
- Nicole ConklingOrange$14K
- Marie DuschSanta Maria$11K
- Andre IshakOxnard$11K
- Alfonso CamberosSan Diego$10K
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.