Jorge Fabregas
Orthopaedic Surgery · Atlanta, GANPI 1386623940
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $334,580 of the $420,535 with a category attached, or 79.6%. Hyhte Holdings Inc. accounts for 79.6% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $81,204 and has fallen 81.6% since, to $14,915 in 2025. Among orthopaedic surgery clinicians in GA 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 101 payments — averaging $4163.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hyhte Holdings Inc.$335K
- Stryker$65K
- VB Spine LLC$5K
- Orthopediatrics Corp.$5K
- Alphatec Spine, Inc$5K
- Nexxt Spine LLC$2K
- plus $3K from 12 others
What the payments were for
- Royalty or licence$334,58080%
- Consulting fees$67,65616%
- Travel & lodging$13,4973%
- Food & beverage$4,8011%
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 |
|---|---|---|
| Hyhte Holdings Inc. | 7 | $334,580 |
| Stryker | 37 | $65,099 |
| VB Spine LLC | 1 | $5,200 |
| Orthopediatrics Corp. | 9 | $5,166 |
| Alphatec Spine, Inc | 14 | $5,092 |
| Nexxt Spine LLC | 15 | $2,332 |
| Spinecraft, LLC | 1 | $2,000 |
| Smith+Nephew | 4 | $320 |
| Medtronic(2 entities) | 4 | $149 |
| Orthofix Medical, Inc. | 1 | $120 |
| Wishbone Medical Inc. | 1 | $105 |
| Globus Medical | 1 | $93 |
| Stability Biologics, LLC | 1 | $89 |
| Onkos Surgical, Inc. | 1 | $61 |
| Mighty Oak Medical | 1 | $60 |
| Biocomposites Inc | 1 | $37 |
| Dynasplint Systems Inc. | 1 | $17 |
| Checkpoint Surgical, Inc | 1 | $13 |
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.
- Olympic$219,440
- ES2 SPINAL SYSTEM$20,764
- MONTEREY AL$20,150
- N/A$19,194
- XIA 3$5,310
- Other - Miscellaneous$4,619
- CASCADIA INTERBODY SYSTEM$1,734
- ORTHOPEDIATRICS PEDINAIL INTRAMEDULLARY NAILING SYSTEM$1,400
- Nexxt Spine Product Portfolio$871
- Allevyn Life$273
- SERRATO$270
- Connexx System$235
- OsseoScrew$233
- Connexx Deformity$198
- Orthopediatric Implants$188
- Nexxt 5 Pillars & Cadaver Lab$173
- EVEREST SPINAL SYSTEM$171
- Nexxt Matrixx System Case Follow Up$161
- Connexx Systems$156
- Pediatric Deformity$156
How this compares
$420,535 in reported general payments places this provider in the 95th percentile of 654 orthopaedic surgery providers in Georgia.
Other orthopaedic surgery in Atlanta
- Daniel SilcoxAtlanta$3.4M
- Dennis DevitoAtlanta$1.5M
- Erroll BaileyAtlanta$536K
- Hardeep SinghAtlanta$451K
- Ezequiel CassinelliAtlanta$225K
- Timothy OswaldAtlanta$220K
- Michael SchmitzAtlanta$162K
- Samuel WillimonAtlanta$109K
- Walter McClellandAtlanta$106K
- Fred FinneyAtlanta$75K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.