Bradley Carofino, MD
Hand Surgery · Chesapeake, VANPI 1194904474
Payments from drug & device makers
Across 124 payments — averaging $8570.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$646K
- Exactech, Inc.$336K
- Tyber Medical, LLC$53K
- Smith+Nephew$17K
- Medacta USA, Inc.$4K
- Medical Device Business Services, Inc.$2K
- plus $5K from 11 others
Across 8 payments — averaging $17,281 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Exactech, Inc.$138K
What the payments were for
- Consulting fees$3,50036%
- Travel & lodging$1,21613%
- Food & beverage$3,71939%
- Education$1,20212%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 21 | $645,628 |
| Exactech, Inc. | 22 | $335,667 |
| Tyber Medical, LLC | 4 | $52,925 |
| Smith+Nephew | 16 | $17,494 |
| Medacta USA, Inc. | 11 | $4,378 |
| Medical Device Business Services, Inc. | 1 | $2,000 |
| Encore Medical, LP | 10 | $1,647 |
| Supreme Orthopedic Systems, LLC | 1 | $1,065 |
| Zimmer Biomet | 11 | $1,008 |
| Endo Pharmaceuticals Inc. | 13 | $232 |
| Stryker(2 entities) | 4 | $181 |
| Catalyst Orthoscience | 2 | $181 |
| Johnson & Johnson | 2 | $134 |
| Integra Lifesciences Corporation | 1 | $109 |
| Endo USA, Inc. | 3 | $62 |
| Avanos Medical | 1 | $19 |
| Dynasplint Systems 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.
- Shoulder System$3,619
- DJO Surgical AltiVate Anatomic System$1,487
- Comprehensive Shoulder System$555
- REVERSE SHOULDER$239
- EQUINOXE$172
- ActivBraid$157
- GMK SPHERE$153
- Regeneten$149
- Catalyst CSR Shoulder System$134
- HEALICOIL Suture Anchor$113
- NEURAGEN$109
- TENOGLIDE$109
How this compares
$1,062,746 in reported general payments places this provider in the 95th percentile of 81 hand surgery providers in Virginia.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 86 | $519 |
| Ondansetron OdtOndansetron | 12 | $158 |
| Prednisone | 47 | $147 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $120 |
| Tramadol Hcl | 40 | $101 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Chesapeake
- Chad MankeVa Beach$887K
- Lance DavlinNorfolk$341K
- Dylan DealCharlottesville$121K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Cesar BravoRoanoke$44K
- Aaron FreilichCharlottesville$31K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
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.