Guadalupe de la Fuente, MD
Orthopaedic Trauma · Fort Worth, TXNPI 1255776605
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (54.9%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 67.1% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $5,321 and has fallen 86.4% since, to $722 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in TX, where the typical reported total is $14,950.
Across 102 payments — averaging $113.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$8K
- Stryker$3K
- Johnson & Johnson$394
- US Implant Solutions, LLC$141
- Zimmer Biomet$113
- Argentum Medical$24
- plus $57 from 3 others
What the payments were for
- Travel & lodging$6,37255%
- Food & beverage$5,15944%
- Education$230%
- Entertainment$530%
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 | 45 | $7,791 |
| Stryker | 40 | $3,086 |
| Johnson & Johnson | 11 | $394 |
| US Implant Solutions, LLC | 1 | $141 |
| Zimmer Biomet | 1 | $113 |
| Argentum Medical | 1 | $24 |
| Bioventus LLC | 1 | $21 |
| Eagle Pharmaceuticals, Inc. | 1 | $19 |
| Polynovo North America LLC | 1 | $17 |
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$3,354
- TRIGEN$2,311
- Taylor Spatial Frame$2,178
- PRO$954
- TRIGEN InterTAN$928
- GAMMA$444
- T2$324
- VARIAX$301
- CANNULATED SCREWS$301
- Stravix$145
- EVOS SMALL$136
- PANGEA$121
- Alps Clavicle$113
- HOFFMANN$109
How this compares
$11,605 in reported general payments places this provider in the 45th percentile of 74 orthopaedic trauma 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $362 |
| Gabapentin | 19 | $191 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Fort Worth
- Cory CollingeFort Worth$2.8M
- Eric BarcakFort Worth$58K
- Elliot RowFort Worth$18K
- Arvind NanaFort Worth$7K
- John MunzHouston$1M
- Kyle DicksonHouston$975K
- Timothy AchorHouston$561K
- Jonathan EastmanHouston$361K
- Stephen WarnerHouston$357K
- Edgar AraizaDallas$270K
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.