RxDoctor Payments Data

Luis Fernandez, MD

Trauma Surgery · Tyler, TXNPI 1730131681

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (49.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by KCI USA, Inc. at 52.1% of the total. Reporting peaked in 2019 at $124,964 and has fallen 55.8% since, to $55,265 in 2025. Among trauma 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.

$493,484in general payments, 2019–2025

Across 370 payments — averaging $1333.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • KCI USA, Inc.$257K
  • Acera Surgical, Inc.$72K
  • Solventum Corporation$67K
  • TELA Bio, Inc.$44K
  • Urgo Medical North America, LLC$42K
  • AstraZeneca$9K
  • plus $3K from 18 others
$132,576in research payments, 2019–2025

Across 17 payments — averaging $7798.59 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.

  • CSL Behring$117K
  • Acera Surgical, Inc.$15K

What the payments were for

  • Consulting fees$189,79038%
  • Speaking & faculty fees$244,76850%
  • Travel & lodging$40,1408%
  • Food & beverage$7,4872%
  • Education$11,2992%

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$493,484 in reported general payments places this provider in the 95th percentile of 108 trauma surgery providers in Texas.

See all trauma surgery providers in Texas

Medicare billing

Part B allowed, 2024
$44,594
Medicare patients
139
Services billed
303

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.

Other trauma surgery in Tyler

See the full list for Texas

Where these figures come from

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