James Saucedo, MD
Hand Surgery · The Woodlands, TXNPI 1457517393
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (45.3%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Trimed, Inc. at 34.8% of the total. 2025 is the largest year on record at $8,138, 3.0 times the $2,726 reported in 2019.
Across 84 payments — averaging $218.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$6K
- Medartis Inc.$5K
- Acumed LLC$2K
- Sonex Health, Inc.$2K
- Medinc Of Texas$627
- Arthrex$542
- plus $2K from 13 others
What the payments were for
- Consulting fees$2,00011%
- Speaking & faculty fees$2,75015%
- Travel & lodging$8,30545%
- Food & beverage$4,58425%
- Education$6203%
- Entertainment$840%
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 |
|---|---|---|
| Trimed, Inc. | 17 | $6,376 |
| Medartis Inc. | 5 | $5,030 |
| Acumed LLC | 17 | $2,310 |
| Sonex Health, Inc. | 12 | $1,510 |
| Medinc Of Texas | 2 | $627 |
| Arthrex | 7 | $542 |
| Axogen | 3 | $425 |
| Johnson & Johnson | 3 | $382 |
| Globus Medical | 3 | $300 |
| Skeletal Dynamics Inc | 2 | $203 |
| Alafair Biosciences, Inc. | 1 | $168 |
| Pacira Therapeutics, Inc. | 4 | $158 |
| Arthrosurface Incorporated | 1 | $147 |
| Pacira Pharmaceuticals Incorporated | 2 | $47 |
| Integra Lifesciences Corporation | 1 | $43 |
| Orthalign Inc | 1 | $21 |
| Stryker | 1 | $20 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
| Novo Nordisk | 1 | $15 |
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.
- APTUS$5,030
- ULTRAGUIDECTR$1,267
- OsteoMed$637
- ACUMED$634
- AVANCE NERVE GRAFT$277
- AxoGuard Nerve Connector$277
- AxoGuard Nerve Protector$277
- AXOGUARD HA+ NERVE PROTECTOR$277
- AxoGuard Nerve Cap$277
- INnate Implant$251
- VersaWrap$168
- VA-LCP$151
- OVOMotion$147
- RevoMotion$147
- WristMotion Wrist Hemiarthroplasty System$147
- Anthem$144
- CAPTIVATE$144
- Mini Fragment System$136
- Headless Compression Screw$136
- Distal Radius II$136
How this compares
$18,342 in reported general payments places this provider in the 85th percentile of 170 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $189 |
| Methylprednisolone | 12 | $50 |
| Meloxicam | 25 | $41 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in The Woodlands
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.