Brandon Romero
Orthopaedic Surgery · Las Vegas, NVNPI 1508228321
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (27.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Shoulder Innovations, Inc. at 37.8% of the total. 2025 is the largest year on record at $25,663, 5.6 times the $4,574 reported in 2020. Among orthopaedic surgery clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 156 payments — averaging $463.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shoulder Innovations, Inc.$27K
- FX Shoulder Solutions, Inc$15K
- Arthrex$13K
- Goode Surgical Inc$12K
- Liberty Surgical Inc.$2K
- Stryker$1K
- plus $1K from 9 others
What the payments were for
- Consulting fees$20,00028%
- Speaking & faculty fees$5,9678%
- Grants$10,00014%
- Travel & lodging$18,35725%
- Food & beverage$7,20710%
- Education$10,65515%
- Gifts$740%
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 |
|---|---|---|
| Shoulder Innovations, Inc. | 28 | $27,293 |
| FX Shoulder Solutions, Inc | 10 | $15,160 |
| Arthrex | 33 | $13,064 |
| Goode Surgical Inc | 49 | $12,034 |
| Liberty Surgical Inc. | 2 | $2,400 |
| Stryker | 20 | $1,289 |
| Tigon Medical LLC | 1 | $300 |
| Linvatec Corporation | 1 | $180 |
| Integra Lifesciences Corporation | 1 | $140 |
| Smith+Nephew | 2 | $131 |
| Exactech, Inc. | 2 | $120 |
| Acera Surgical, Inc. | 3 | $61 |
| Zimvie Inc. | 2 | $46 |
| Zimmer Biomet | 1 | $27 |
| Bioventus LLC | 1 | $14 |
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.
- InSet System$26,996
- INTEGRA$419
- INSPACE$310
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$291
- BioBrace 23mm$180
- ARTHREX$143
- INTEGRA DERMAL REGENERATION TEMPLATE$140
- PRIMATRIX$140
How this compares
$72,261 in reported general payments places this provider in the 90th percentile of 135 orthopaedic surgery providers in Nevada.
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 |
|---|---|---|
| Meloxicam | 21 | $36 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Las Vegas
- Mark BarryLas Vegas$9.5M
- Erik KubiakLas Vegas$7.8M
- Russell NevinsLas Vegas$1.5M
- Vladimir SinkovLas Vegas$434K
- Ronald HillockLas Vegas$275K
- Galen KamLas Vegas$270K
- Michael DaubsLas Vegas$215K
- John BaldaufLas Vegas$117K
- Brian CarrLas Vegas$91K
- Matthew BudgeLas Vegas$71K
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.