Fernando Serna
Orthopaedic Trauma · Gainesville, GANPI 1245249697
Payments from drug & device makers
What this record shows
14 manufacturers reported payments, led by Smith+Nephew at 50.3% of the total. 2025 is the largest year on record at $2,656, 2.6 times the $1,003 reported in 2019. That places this record below the midpoint for orthopaedic trauma clinicians in GA, where the typical reported total is $14,838.
Across 91 payments — averaging $82.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$4K
- Stryker$3K
- Johnson & Johnson$451
- Curvafix, Inc.$141
- Si-bone, Inc.$107
- Paragon 28, Inc.$81
- plus $225 from 8 others
What the payments were for
- Travel & lodging$3,61248%
- Food & beverage$3,85052%
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 |
|---|---|---|
| Smith+Nephew | 46 | $3,753 |
| Stryker | 27 | $2,705 |
| Johnson & Johnson | 6 | $451 |
| Curvafix, Inc. | 1 | $141 |
| Si-bone, Inc. | 1 | $107 |
| Paragon 28, Inc. | 1 | $81 |
| Zimmer Biomet | 1 | $76 |
| Acell, Inc. | 2 | $40 |
| My01 Inc. | 1 | $31 |
| Kerecis Limited | 1 | $24 |
| Polynovo North America LLC | 1 | $23 |
| Solventum Corporation | 1 | $16 |
| KCI USA, Inc. | 1 | $12 |
| Aroa Biosurgery Incorporated | 1 | $1 |
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.
- EVOS$2,011
- GAMMA$1,252
- TRIGEN$990
- TRIGEN InterTAN$863
- Actishield$651
- NA$420
- VA-LCP$332
- Taylor Spatial Frame$236
- TRIGEN Meta-Nail$236
- TFN-Advance$210
- MAVERICK$150
- CurvaFix IM Implant$141
- T2 ALPHA$127
How this compares
$7,463 in reported general payments places this provider in the 40th percentile of 28 orthopaedic trauma providers in Georgia.
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 | 45 | $260 |
| Gabapentin | 13 | $132 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 28 | $99 |
| Methocarbamol | 16 | $89 |
| Oxycodone Hcl | 20 | $86 |
| Tramadol Hcl | 17 | $34 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Gainesville
- Brandon BruceGainesville$15K
- Greg HerzogGainesville$3K
- Richard ThomasGainesville$3K
- Bruce ZiranLawrenceville$2.4M
- William TerrellMarietta$669K
- James BlairAugusta$417K
- Michael MaceroliAtlanta$385K
- Daniel ChanMacon$253K
- Daniel SchlattererAtlanta$69K
- Mara SchenkerAtlanta$59K
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.