Brian Giordano, MD
Orthopaedic Surgery · Rochester, NYNPI 1215946843
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (47.8%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Arthrex accounts for 99.7% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $249,503, 3.3 times the $76,660 reported in 2019. Among orthopaedic surgery clinicians in NY 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 385 payments — averaging $2522.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$968K
- Prodigy Surgical Distribution, Inc.$3K
- Stryker$66
Across 3 payments — averaging $9843.01 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.
- Arthrex$30K
What the payments were for
- Royalty or licence$463,97048%
- Consulting fees$54,5206%
- Speaking & faculty fees$420,54043%
- Travel & lodging$27,6713%
- Food & beverage$4,3880%
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 |
|---|---|---|
| Arthrex | 373 | $968,121 |
| Prodigy Surgical Distribution, Inc. | 11 | $2,902 |
| Stryker | 1 | $66 |
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.
- ARTHREX$2,009,830
- AR-4068HL$133,851
- KNEE & HIP INSTRUMENTS HIP DISPOSABLE$29,497
- KNEE & HIP INSTRUMENTS HIP DISPOSABLE KITS$29,368
- KNEE & HIP INSTRUMENTS HIP REUSABLE$29,368
- KNEE & HIP INSTRUMENTS HIP INSTRUMENTS$114
How this compares
$971,089 in reported general payments places this provider in the 95th percentile of 1,079 orthopaedic surgery providers in New York.
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 orthopaedic surgery in Rochester
- Anthony RomeoNew York$26.8M
- Lawrence LenkeNew York$26.8M
- Edwin SuNew York$13.2M
- William RicciNew York$11.6M
- Steven HaasNew York$11.3M
- Giles ScuderiNew York$10.7M
- Joseph ZuckermanNew York$9.9M
- Evan FlatowNew York$9.6M
- Bradford ParsonsNew York$9.4M
- Geoffrey WestrichNew York$7.1M
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.