Has Bradley Carofino, MD received payments from drug or device companies?

Yes. Drug and device makers reported $9,637 in general payments to Bradley Carofino, MD across 67 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Bradley Carofino, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Bradley Carofino, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Bradley Carofino, MD

Hand Surgery · Chesapeake, VANPI 1194904474

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (38.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Medacta USA, Inc. at 45.4% of the total. Reporting peaked in 2024 at $4,015 and has fallen 79.8% since, to $810 in 2025.

$9,637in general payments, 2019–2025

Across 67 payments — averaging $143.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medacta USA, Inc.$4K
Encore Medical, LP$2K
Supreme Orthopedic Systems, LLC$1K
Zimmer Biomet$1K
Exactech, Inc.$317
Smith+Nephew$289
plus $934 from 8 others

$1,191,359in research payments, 2019–2025

Across 65 payments — averaging $18,329 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.

Orthofix Medical, Inc.$646K
Exactech, Inc.$474K
Tyber Medical, LLC$53K
Smith+Nephew$17K
Medical Device Business Services, Inc.$2K

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
Medacta USA, Inc.	11	$4,378
Encore Medical, LP	10	$1,647
Supreme Orthopedic Systems, LLC	1	$1,065
Zimmer Biomet	11	$1,008
Exactech, Inc.	4	$317
Smith+Nephew	3	$289
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

$9,637 in reported general payments places this provider in the 80th percentile of 81 hand surgery providers in Virginia.

See all hand surgery providers in Virginia →

Medicare billing

Part B allowed, 2024

$571,605

Medicare patients

1,108

Services billed

8,476

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

Lance DavlinNorfolk$165K
Chad MankeVa Beach$104K
Frank GwathmeyNorfolk$68K
Angelo DacusCharlottesville$57K
Kacy PeekCharlottesville$31K
Rikesh GandhiArlington$22K
Nicole SgromoloFort Belvoir$17K
Jeffrey LovalloArlington$16K
Drew KiernanLynchburg$15K
Giacomo CappelletiNorfolk$15K

See the full list for Virginia →

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.

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