Ben Francisco, MD
Orthopaedic Surgery · Lander, WYNPI 1285928945
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $948 of the $1,429 with a category attached, or 66.3%. Zimmer Biomet accounts for 87.2% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2020 at $600 and has fallen 71.6% since, to $171 in 2024. That places this record below the midpoint for orthopaedic surgery clinicians in WY, where the typical reported total is $1,913.
Across 12 payments — averaging $119.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$1K
- Catalyst Orthoscience$133
- Orthalign Inc$37
- Johnson & Johnson$12
What the payments were for
- Travel & lodging$94866%
- Food & beverage$23917%
- Education$24217%
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 |
|---|---|---|
| Zimmer Biomet | 8 | $1,246 |
| Catalyst Orthoscience | 2 | $133 |
| Orthalign Inc | 1 | $37 |
| Johnson & Johnson | 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.
- Comprehensive Primary Stem$566
- Alps Clavicle$325
- Persona$242
How this compares
$1,429 in reported general payments places this provider in the 40th percentile of 69 orthopaedic surgery providers in Wyoming.
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 |
|---|---|---|
| Celecoxib | 25 | $1,136 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 103 | $960 |
| Cyclobenzaprine Hcl | 71 | $466 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 55 | $439 |
| Diclofenac Sodium | 21 | $279 |
| Cephalexin | 66 | $276 |
| Gabapentin | 26 | $172 |
| Methylprednisolone | 18 | $140 |
| Tramadol Hcl | 20 | $86 |
| Meloxicam | 20 | $40 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lander
- Christopher HillsJackson$107K
- Matthew FournierLaramie$34K
- Jaymeson ArthurCasper$30K
- Ryan AukermanLaramie$24K
- Robert GrunfeldGillette$17K
- Mark RyzewiczCody$14K
- Jory WasserburgerSheridan$12K
- Mark McKennaLaramie$10K
- Rafael WilliamsWilson$10K
- Emily HarndenCody$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.