Graham Hamilton, DPM
Foot & Ankle Surgery · Edinburg, TXNPI 1124106927
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,615,427 of the $2,053,927 with a category attached, or 78.7%. 21 manufacturers reported payments, led by Trilliant Surgical LLC. at 49.4% of the total. Reporting peaked in 2021 at $1,064,812 and has fallen 90.4% since, to $102,597 in 2025. Among foot & ankle surgery clinicians in TX 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 574 payments — averaging $3578.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trilliant Surgical LLC.$1M
- Medshape, Inc.$404K
- Medartis Inc.$236K
- Zimmer Biomet$188K
- Medical Device Business Services, Inc.$126K
- Nextremity Solutions Inc.$53K
- plus $33K from 15 others
What the payments were for
- Royalty or licence$1,615,42779%
- Consulting fees$367,57518%
- Speaking & faculty fees$12,0001%
- Travel & lodging$47,1012%
- Food & beverage$11,4071%
- Education$4110%
- Gifts$60%
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 |
|---|---|---|
| Trilliant Surgical LLC. | 31 | $1,015,627 |
| Medshape, Inc. | 70 | $403,577 |
| Medartis Inc. | 31 | $235,543 |
| Zimmer Biomet | 264 | $187,819 |
| Medical Device Business Services, Inc. | 103 | $126,006 |
| Nextremity Solutions Inc. | 7 | $52,550 |
| Synthes GmbH | 18 | $10,539 |
| Synthes USA Products LLC | 9 | $9,199 |
| Depuy Synthes Products, Inc. | 2 | $8,348 |
| Globus Medical | 9 | $2,540 |
| Johnson & Johnson | 9 | $446 |
| Encore Medical, LP | 5 | $406 |
| Stryker | 5 | $369 |
| Ossio Inc | 4 | $253 |
| Trimed, Inc. | 1 | $186 |
| Exactech, Inc. | 1 | $163 |
| Voom Medical Devices, Inc. | 1 | $130 |
| Averitas Pharma Inc. | 1 | $122 |
| Dunamis Medical, LLC | 1 | $68 |
| Crossroads Extremity Systems, LLC | 1 | $19 |
| Evolution Surgical, 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.
- Lapidus Correction Jig, Right$379,194
- APTUS$235,490
- VA-LCP$80,370
- Lapidus Plate$79,297
- VA-LCP PLATES & SCREWS$52,617
- Juggerknot$37,858
- AccuFill$33,708
- Nextremity Nextra Hammertoe$19,638
- Alps Plates and Instruments$18,983
- Amnio Repair$18,875
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$12,918
- DynaNail Helix, Washer, 15 mm$11,992
- Dermaspan$10,000
- DeNovo$7,500
- Fusion Plate$5,750
- CANNULATED SCREWS$3,454
- Ziptight Ankle Syndesmosis$2,750
- DynaNail$2,549
- Arsenal Sinus Support Plate$2,397
- Stratum Foot Plating System$2,075
How this compares
$2,053,927 in reported general payments places this provider in the 95th percentile of 684 foot & ankle surgery 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 |
|---|---|---|
| Terbinafine Hcl | 23 | $510 |
| Celecoxib | 16 | $302 |
| Gabapentin | 13 | $158 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $117 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Edinburg
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
- Vinod PanchbhaviGalveston$389K
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.