Giovanna Ignacio Subira Medina, MD
Sports Medicine · Boston, MANPI 1508483132
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 74.6% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $29,868, 6.3 times the $4,712 reported in 2021. Among sports medicine clinicians in MA 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 147 payments — averaging $376.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$41K
- Arthrex$9K
- Kairos Surgical Inc$2K
- Stryker$1K
- Medical Device Business Services, Inc.$825
- Banner Surgical Solutions, Inc$739
- plus $637 from 3 others
What the payments were for
- Consulting fees$25,65046%
- Travel & lodging$8,97216%
- Food & beverage$4,2518%
- Education$16,42530%
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 | 28 | $41,236 |
| Arthrex | 75 | $8,505 |
| Kairos Surgical Inc | 15 | $2,018 |
| Stryker | 12 | $1,338 |
| Medical Device Business Services, Inc. | 7 | $825 |
| Banner Surgical Solutions, Inc | 4 | $739 |
| Vericel Corporation | 4 | $307 |
| Miach Orthopaedics, Inc. | 1 | $180 |
| Peerless Surgical Inc. | 1 | $150 |
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.
- Q-FIX$11,975
- FAST-FIX$9,600
- SPATIAL FRAME$9,600
- ACUFEX Meniscal Root Repair$1,814
- MICRORAPTOR$1,228
- Bone Anchors with Arthroscopic Delivery System$1,228
- CAP-FIX$1,147
- Healicoil$1,147
- NOVOSTITCH$1,147
- DYNACORD$669
- Bioinductive Implant with Arthroscopic Delivery System - Medium$631
- SALVATION$598
- ICONIX$369
- MACI$242
- INSPACE$172
- ARTHREX$148
- N/A$115
How this compares
$55,298 in reported general payments places this provider in the 90th percentile of 138 sports medicine providers in Massachusetts.
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.
Other sports medicine in Boston
- Elizabeth MatzkinBoston$182K
- Xinning LiBoston$109K
- Miho TanakaBoston$89K
- Elise BixbyBoston$53K
- Yi Meng YenBoston$52K
- James SatalichBoston$46K
- Evan OdonnellBoston$39K
- Ian HutchinsonBoston$39K
- Thomas HolovacsBoston$28K
- Michael MeadeBoston$24K
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.