Hilary Malcarney, MD
Orthopaedic Surgery · Reno, NVNPI 1457306938
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.5%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 94.7% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $75,265, 5.3 times the $14,325 reported in 2019. Among orthopaedic surgery clinicians in NV 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 127 payments — averaging $1484.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$179K
- Shoulder Innovations, Inc.$10K
- Avanos Medical$20
What the payments were for
- Royalty or licence$66,12735%
- Consulting fees$110,27858%
- Travel & lodging$9,1495%
- Food & beverage$2,9322%
- Gifts$240%
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 |
|---|---|---|
| Stryker | 121 | $178,579 |
| Shoulder Innovations, Inc. | 5 | $9,910 |
| Avanos Medical | 1 | $20 |
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.
- ICONIX$57,948
- ALPHAVENT$17,733
- OMEGA$16,152
- AEQUALIS$15,300
- InSet System$9,887
- NA$9,203
- MAKO$9,200
- REUNION$8,800
- INSPACE$8,765
- TRIATHLON$7,200
- IVY AIR$5,600
- VERSITOMIC$5,600
- NEW PRODUCT DEVELOPMENT$4,400
- 1688 HD 3 CHIP CAMERA$3,200
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$2,803
- TWINLOOP FLEX$1,600
- CINCHLOCK$1,600
- NANOTACK FLEX$1,600
- 1188 HD AUTOCLAVABLE CAMERA$1,400
- 1488 HD 3 CHIP CAMERA$1,400
How this compares
$188,509 in reported general payments places this provider in the 90th percentile of 135 orthopaedic surgery providers in Nevada.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 219 | $2,816 |
| Celecoxib | 20 | $768 |
| Ondansetron OdtOndansetron | 29 | $387 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $174 |
| Hydromorphone Hcl | 13 | $99 |
| Mupirocin | 20 | $91 |
| Meloxicam | 13 | $70 |
| Tramadol Hcl | 15 | $38 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Reno
- Travis KieckbuschReno$54K
- Sean FitzpatrickReno$28K
- Sean SterrenbergReno$23K
- Babe WestlakeReno$17K
- Patrick BarousseReno$14K
- Mark BarryLas Vegas$9.5M
- Erik KubiakLas Vegas$7.8M
- Russell NevinsLas Vegas$1.5M
- Vladimir SinkovLas Vegas$434K
- Robert TaitHenderson$365K
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.