Francisco Schwartz-Fernandes, MD
Surgery of the Hand · Ocala, FLNPI 1821244500
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (46.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Skeletal Dynamics Inc at 39.7% of the total. Reporting peaked in 2024 at $10,276 and has fallen 93.5% since, to $669 in 2025.
Across 115 payments — averaging $224.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$10K
- Axogen$4K
- Arthrex$3K
- Arthrosurface Incorporated$3K
- CGG Medical Inc$1K
- Anika Therapeutics, Inc.$1K
- plus $4K from 18 others
What the payments were for
- Consulting fees$3501%
- Speaking & faculty fees$2,3009%
- Travel & lodging$4,77218%
- Food & beverage$6,41225%
- Education$12,00046%
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 | 3 | $10,259 |
| Axogen | 15 | $3,575 |
| Arthrex | 17 | $2,654 |
| Arthrosurface Incorporated | 7 | $2,583 |
| CGG Medical Inc | 6 | $1,411 |
| Anika Therapeutics, Inc. | 4 | $1,160 |
| Integra Lifesciences Corporation | 16 | $1,108 |
| Stryker | 16 | $1,076 |
| Sonex Health, Inc. | 5 | $413 |
| Checkpoint Surgical, Inc | 2 | $304 |
| Smith+Nephew | 3 | $248 |
| Trice Medical, Inc. | 4 | $238 |
| Medartis Inc. | 1 | $193 |
| Endo Pharmaceuticals Inc. | 4 | $145 |
| Organogenesis Inc. | 1 | $109 |
| MVP Orthopedics Inc | 1 | $62 |
| Vertex | 2 | $53 |
| EBI, LLC | 1 | $50 |
| Ossur Americas, Inc. | 1 | $49 |
| US Implant Solutions, LLC | 1 | $44 |
| Innovation Technologies Inc | 2 | $33 |
| Linvatec Corporation | 1 | $28 |
| Solventum Corporation | 1 | $25 |
| Orthofix Medical, 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$10,259
- Align$10,259
- IJS$10,259
- Implate$10,259
- HemiCAP Wrist$2,696
- AVANCE NERVE GRAFT$1,885
- AxoGuard Nerve Protector$1,326
- AxoGuard Nerve Connector$1,326
- OVOMotion$709
- Drawtight$709
- X-Twist$709
- NEURAGEN$545
- SURGIMEND$440
- TCC-EZ$440
- MICROMATRIX$440
- PRIMATRIX$440
- VARIAX$391
- TENOGLIDE$385
- ULTRAGUIDECTR$350
- Checkpoint Stimulators$283
How this compares
$25,834 in reported general payments places this provider in the 85th percentile of 60 surgery of the hand 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 |
|---|---|---|
| Gabapentin | 147 | $641 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 99 | $513 |
| Methylprednisolone | 26 | $210 |
| Ibuprofen | 33 | $81 |
| Meloxicam | 23 | $62 |
| Tramadol Hcl | 14 | $29 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Ocala
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- David HalpernTampa$19K
- Jacob JabbourMiami$16K
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.