Bryan Reyes, MD
Hand Surgery · Fort Worth, TXNPI 1023308384
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Acumed LLC at 24.2% of the total. Reporting peaked in 2019 at $3,522 and has fallen 93.1% since, to $242 in 2025.
Across 70 payments — averaging $131.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$2K
- Arthrex$2K
- Pylant Medical$2K
- Medartis Inc.$1K
- Stryker$186
- Amgen$185
- plus $1K from 13 others
What the payments were for
- Travel & lodging$2,06622%
- Food & beverage$4,09845%
- Education$2,93732%
- Entertainment$1001%
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 |
|---|---|---|
| Acumed LLC | 9 | $2,228 |
| Arthrex | 12 | $2,163 |
| Pylant Medical | 12 | $1,942 |
| Medartis Inc. | 3 | $1,285 |
| Stryker | 4 | $186 |
| Amgen | 5 | $185 |
| Kerecis Limited | 1 | $144 |
| Pavmed Inc. | 3 | $143 |
| Axogen | 4 | $120 |
| Arthrosurface Incorporated | 3 | $119 |
| Anika Therapeutics, Inc. | 1 | $115 |
| Acera Surgical, Inc. | 1 | $114 |
| Johnson & Johnson | 2 | $104 |
| Exsomed Corporation | 1 | $100 |
| Skeletal Dynamics Inc | 1 | $95 |
| Endo Pharmaceuticals Inc. | 5 | $95 |
| Integra Lifesciences Corporation | 1 | $26 |
| Revance Therapeutics, Inc. | 1 | $22 |
| Orthofix Medical, 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.
- Hand Fracture System$1,263
- Elbow Plating System$1,263
- APTUS$1,240
- Radial Head Plating System$1,045
- Forearm Rod System$741
- Fibula Rod System$741
- Midshaft Forearm Plating System$602
- Kerecis SurgiClose$575
- Cannulated Screw System$218
- Acu-Loc Wrist Plating System$218
- Anatomic Radial Head System$218
- INnate Implant$200
- Kerecis GraftGuide$144
- KRYSTEXXA$138
- Elbow Plates$127
- Midshaft Forearm Plates$127
- Ulna Shortening Plate$127
- Acutrak/Acutrak 2 Screws - Micro, Mini, Std, Fusion$127
- Polarus 3 Plates$127
- Actiflip$115
How this compares
$9,201 in reported general payments places this provider in the 65th percentile of 170 hand surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 174 | $1,255 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $98 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 15 | $87 |
| Tramadol Hcl | 28 | $60 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Fort Worth
- William PientkaFort Worth$113K
- Christopher BatesFort Worth$11K
- Hannah KimFort Worth$8K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
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.