Bryce Fugarino, MD
Hand Surgery · Lafayette, LANPI 1851658454
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (43.7%), education and food and beverage — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by ALON Medical Technology at 35.0% of the total. Reporting peaked in 2020 at $3,074 and has fallen 94.5% since, to $169 in 2025.
Across 35 payments — averaging $158.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ALON Medical Technology$2K
- Medartis Inc.$2K
- Axogen$1K
- Stryker$199
- Bioventus LLC$186
- Smith+Nephew$104
- plus $164 from 4 others
What the payments were for
- Travel & lodging$2,42644%
- Food & beverage$1,18621%
- Education$1,94335%
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 |
|---|---|---|
| ALON Medical Technology | 2 | $1,943 |
| Medartis Inc. | 4 | $1,841 |
| Axogen | 3 | $1,118 |
| Stryker | 6 | $199 |
| Bioventus LLC | 10 | $186 |
| Smith+Nephew | 1 | $104 |
| Endo Pharmaceuticals Inc. | 6 | $89 |
| Johnson & Johnson | 1 | $44 |
| Boston Scientific | 1 | $16 |
| Endo USA, Inc. | 1 | $15 |
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.
- APTUS$1,731
- AVANCE NERVE GRAFT$1,118
- AxoGuard Nerve Connector$1,118
- AxoGuard Nerve Protector$1,118
- Healicoil$208
- N/A$104
- Double Pump RF$104
- Bioinductive Implant with Arthroscopic Delivery System - Medium$104
How this compares
$5,555 in reported general payments places this provider in the 65th percentile of 29 hand surgery providers in Louisiana.
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 | 86 | $263 |
| Methylprednisolone | 40 | $191 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 50 | $81 |
| Naproxen | 15 | $76 |
| Tramadol Hcl | 37 | $42 |
| Tamsulosin Hcl | 12 | $28 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lafayette
- Sagar ShahLafayette$7K
- Robert LeblancLafayette$2K
- Leslie SiscoNew Orleans$169K
- Mark DodsonAlexandria$28K
- Ryan BlissBaton Rouge$11K
- Diego MirandaBossier City$10K
- Nicholas PappasMetairie$9K
- Cameron BestMonroe$8K
- Brandon DonnellyMetairie$8K
- Brent McCartyCovington$7K
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.