Fernando Levaro, MD
Surgery of the Hand · Houston, TXNPI 1811991367
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.6%), travel and lodging and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Acumed LLC at 33.0% of the total. 2025 is the largest year on record at $3,040, 3.1 times the $981 reported in 2019.
Across 61 payments — averaging $122.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$2K
- Axogen$2K
- Medinc Of Texas$836
- Access Pro Medical, LLC$514
- Smith+Nephew$414
- Kerecis Limited$302
- plus $911 from 8 others
What the payments were for
- Travel & lodging$2,68636%
- Food & beverage$4,09155%
- Education$71510%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 20 | $2,470 |
| Axogen | 14 | $2,045 |
| Medinc Of Texas | 2 | $836 |
| Access Pro Medical, LLC | 4 | $514 |
| Smith+Nephew | 5 | $414 |
| Kerecis Limited | 2 | $302 |
| Acera Surgical, Inc. | 2 | $268 |
| Integra Lifesciences Corporation | 5 | $216 |
| Nevro Corp. | 2 | $134 |
| Globus Medical | 1 | $99 |
| Checkpoint Surgical, Inc | 1 | $69 |
| Exsomed Corporation | 1 | $67 |
| Acell, Inc. | 1 | $40 |
| Alafair Biosciences, Inc. | 1 | $18 |
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.
- ACUMED$3,786
- AXOGUARD$2,100
- INnate Implant$1,089
- AXOGUARD HA+ NERVE PROTECTOR$1,050
- AxoGuard Nerve Cap$1,050
- InFrame Implant$980
- Kerecis SurgiClose$595
- NanoPhix Implant$491
- Kerecis Omega3 Marigen$459
- Matriderm$358
- Restrata Wound Matrix$268
- Kerecis Omega3 SurgiClose$153
- Kerecis Omega3 GraftGuide$153
- Kerecis GraftGuide$149
- Versajet$140
- OsteoMed$125
- Stravix$122
- GRAFIX PL$122
- INSTRUMENTS-GENERAL SURGERY$116
- AVANCE NERVE GRAFT$112
How this compares
$7,492 in reported general payments places this provider in the 75th percentile of 68 surgery of the hand 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 | 21 | $250 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Houston
- Matthew McCarleyHouston$8K
- Baher MaximosHouston$8K
- Lucas OhmesHouston$2K
- John KoshyHouston$2K
- Nicholas FioreHouston$1K
- David NetscherHouston$1K
- Jason AshfordHouston$827
- Jose NollaHouston$631
- Alfred MitchellHouston$540
- Carlton PerryHouston$353
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.