Kourosh Jafarnia, MD
Hand Surgery · Houston, TXNPI 1568443562
Payments from drug & device makers
What this record shows
This record is dominated by other: $234,741 of the $278,165 with a category attached, or 84.4%. Linvatec Corporation accounts for 84.9% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2022 at $207,738 and has fallen 87.5% since, to $26,024 in 2025. Among hand surgery clinicians in TX 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 83 payments — averaging $3351.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Linvatec Corporation$236K
- Medartis Inc.$26K
- In2bones USA, LLC$9K
- Hologic Inc$2K
- Medinc Of Texas$2K
- Acumed LLC$1K
- plus $2K from 12 others
What the payments were for
- Royalty or licence$29,07510%
- Consulting fees$7,5003%
- Travel & lodging$4,1031%
- Food & beverage$1,3760%
- Education$1,3700%
- Other$234,74184%
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 |
|---|---|---|
| Linvatec Corporation | 19 | $236,031 |
| Medartis Inc. | 5 | $26,065 |
| In2bones USA, LLC | 16 | $8,990 |
| Hologic Inc | 1 | $2,000 |
| Medinc Of Texas | 6 | $1,868 |
| Acumed LLC | 10 | $1,086 |
| Skeletal Dynamics Inc | 4 | $857 |
| Arthrex | 1 | $489 |
| Endo Pharmaceuticals Inc. | 8 | $339 |
| Endo USA, Inc. | 3 | $177 |
| Smith+Nephew | 1 | $70 |
| Amgen | 3 | $44 |
| Arthrosurface Incorporated | 1 | $42 |
| Medtronic | 1 | $35 |
| Vertex | 1 | $32 |
| Genentech USA, Inc. | 1 | $14 |
| Axogen | 1 | $12 |
| Integra Lifesciences Corporation | 1 | $12 |
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.
- AVENGER RADIAL HEAD, +4 STEMS$235,823
- Avenger$33,961
- APTUS$951
- Hand Fracture System$788
- Geminus$757
- Align$757
- IJS$757
- Implate$757
- XIAFLEX$356
- Acu-Loc Wrist Plating System$338
- Acutrak Headless Compression Screw System$338
- Elbow Plating System$188
- Anatomic Radial Head System$188
- Clavicle Plating System$150
How this compares
$278,165 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Celecoxib | 52 | $2,417 |
| Diclofenac Sodium | 96 | $1,672 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 70 | $312 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 24 | $92 |
| Meloxicam | 34 | $88 |
| Tramadol Hcl | 42 | $79 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Houston
- Adil AhmedHouston$30K
- Andrea TianHouston$26K
- Kyle WoernerHouston$18K
- Adam SharHouston$16K
- Scott MitchellHouston$12K
- Darshan PatelHouston$12K
- Ashton MansourHouston$11K
- Mark KhorsandiHouston$10K
- James BennettHouston$10K
- Randy LuoHouston$8K
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.