Francisco Rubio, MD
Hand Surgery · Miami, FLNPI 1225225766
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.4%), education and food and beverage — rather than concentrated in one kind of arrangement. Skeletal Dynamics Inc accounts for 99.5% of it on its own, with 17 other manufacturers making up the rest. Among hand surgery clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 125 payments — averaging $2756.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$343K
- Stryker$708
- Anika Therapeutics, Inc.$150
- Xiros Inc$113
- Smith+Nephew$74
- Endo Pharmaceuticals Inc.$71
- plus $449 from 12 others
What the payments were for
- Speaking & faculty fees$187,25054%
- Travel & lodging$4,0881%
- Food & beverage$8,1832%
- Education$145,00042%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 89 | $342,956 |
| Stryker(2 entities) | 13 | $708 |
| Anika Therapeutics, Inc. | 1 | $150 |
| Xiros Inc | 1 | $113 |
| Smith+Nephew | 2 | $74 |
| Endo Pharmaceuticals Inc. | 3 | $71 |
| Axogen | 2 | $64 |
| Zimmer Biomet | 2 | $63 |
| Embody, Inc. | 1 | $55 |
| Johnson & Johnson | 2 | $53 |
| Bioventus LLC | 2 | $48 |
| Organogenesis Inc. | 1 | $34 |
| Integra Lifesciences Corporation | 1 | $30 |
| Amgen | 1 | $23 |
| Endo USA, Inc. | 1 | $23 |
| Checkpoint Surgical, Inc | 1 | $21 |
| DJO, LLC | 1 | $21 |
| Sonex Health, Inc. | 1 | $14 |
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$342,573
- Align$342,573
- IJS$342,573
- Implate$342,573
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$322
- RevoMotion$150
How this compares
$344,521 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Celecoxib | 32 | $639 |
| Ibuprofen | 86 | $438 |
| Methylprednisolone | 57 | $430 |
| Meloxicam | 172 | $340 |
| Tramadol Hcl | 212 | $313 |
| Doxycycline Hyclate | 21 | $105 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $75 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Miami
- Jorge Orbay-CerratoMiami$12.5M
- Maria-Carolina Orbay AranMiami$108K
- Helen Hui-ChouMiami$95K
- Rafael Diaz GarciaMiami$71K
- Eric BalaguerMiami$58K
- 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.