Eric Balaguer, MD
Hand Surgery · Miami, FLNPI 1679747067
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (30.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 43 manufacturers reported payments, led by Trimed, Inc. at 27.2% of the total. Reporting peaked in 2024 at $21,416 and has fallen 64.4% since, to $7,631 in 2025. Among hand surgery clinicians in FL 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 215 payments — averaging $267.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$16K
- Skeletal Dynamics Inc$14K
- Trice Medical, Inc.$14K
- Arthrex$3K
- Axogen$2K
- Integra Lifesciences Corporation$2K
- plus $7K from 37 others
What the payments were for
- Consulting fees$7,95014%
- Speaking & faculty fees$1,5003%
- Travel & lodging$16,43329%
- Food & beverage$14,31425%
- Education$17,23830%
- 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.
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.
- Geminus$14,118
- Align$14,118
- IJS$14,118
- Implate$14,118
- Tools - WFS$10,566
- Segway blade or mieye camera$7,141
- AxoGuard Nerve Protector$1,958
- AxoGuard Nerve Connector$1,958
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$872
- PANTA NAIL$872
- TOTAL FOOT SYSTEM$872
- CADENCE ANKLE REPLACEMENT SYSTEM$872
- EXPAREL$369
- TEPEZZA$341
- Parcus Suture Anchors$288
- Super Staple$260
- Super Scaffold$260
- ACUMED$252
- Irrisept$250
- KRYSTEXXA$249
How this compares
$57,509 in reported general payments places this provider in the 90th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| Diclofenac Sodium | 103 | $2,148 |
| Celecoxib | 17 | $435 |
| Ibuprofen | 48 | $265 |
| Meloxicam | 77 | $147 |
| Omeprazole | 22 | $85 |
| Tramadol Hcl | 25 | $45 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Miami
- Jorge Orbay-CerratoMiami$12.5M
- Francisco RubioMiami$345K
- Maria-Carolina Orbay AranMiami$108K
- Helen Hui-ChouMiami$95K
- Rafael Diaz GarciaMiami$71K
- Gil GontreMiami$51K
- Dalibel BravoMiami$9K
- Patrick OwensMiami$6K
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
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.