James Genuario, MD
Sports Medicine · Parker, CONPI 1972600435
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.5%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 98.9% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $150,399, 2.2 times the $68,641 reported in 2019. Among sports medicine clinicians in CO 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 369 payments — averaging $1949.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$711K
- Arthrex$5K
- Smith+Nephew$2K
- Gemini Mountain Medical, LLC$644
- Bioventus LLC$121
- Ossur Americas, Inc.$88
- plus $24 from 1 others
Across 5 payments — averaging $6379.82 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$31K
- Medical Device Business Services, Inc.$1K
What the payments were for
- Royalty or licence$281,96839%
- Consulting fees$406,17556%
- Travel & lodging$18,4623%
- Food & beverage$8,5471%
- Education$4,3501%
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 | 344 | $711,497 |
| Arthrex | 9 | $4,762 |
| Smith+Nephew | 8 | $2,367 |
| Gemini Mountain Medical, LLC | 3 | $644 |
| Bioventus LLC | 3 | $121 |
| Ossur Americas, Inc. | 1 | $88 |
| Organogenesis Inc. | 1 | $24 |
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.
- HIPMAP$66,437
- MAKO$50,913
- NA$48,950
- ALPHAVENT$45,289
- ICONIX$44,182
- INSPACE$39,055
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$25,021
- INSIGNIA$22,963
- HIPCHECK$22,774
- MEDPOR$13,213
- SALVATION$11,720
- HOFFMANN$11,500
- TRIDENT$10,800
- OMEGA$10,600
- NEW PRODUCT DEVELOPMENT$10,399
- IVY AIR$10,000
- PIVOT PORTAL ENTRY KIT$9,129
- RESTORATION$8,800
- REUNION$8,350
- TRIATHLON$7,825
How this compares
$719,502 in reported general payments places this provider in the 95th percentile of 196 sports medicine providers in Colorado.
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 | 23 | $205 |
| Ondansetron Hcl | 24 | $186 |
| Naproxen | 22 | $92 |
| Meloxicam | 23 | $74 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Parker
- Peter MillettVail$21.6M
- Matthew ProvencherVail$3.4M
- Rachel FrankAurora$1.6M
- David WeinsteinColorado Springs$1.5M
- Alan NgDenver$1.4M
- David SchneiderGolden$709K
- Christopher JonesColorado Springs$632K
- Randall ViolaVail$551K
- Edward StollWheat Ridge$265K
- Jonathan BravmanAurora$247K
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.