Michael Garcia, MD
Orthopaedic Surgery · Temple Terrace, FLNPI 1710163886
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (50.7%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Arthrex accounts for 95.9% of it on its own, with 38 other manufacturers making up the rest. 2025 is the largest year on record at $280,702, 4.1 times the $68,263 reported in 2019. Among orthopaedic surgery clinicians in FL 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 664 payments — averaging $1675.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$1.1M
- Endo Pharmaceuticals Inc.$29K
- Axogen$4K
- Polynovo North America LLC$3K
- Coastal Medical Technologies LLC$2K
- DJO, LLC$1K
- plus $6K from 33 others
Across 4 payments — averaging $303.13 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$1K
What the payments were for
- Royalty or licence$563,51151%
- Consulting fees$82,0007%
- Speaking & faculty fees$436,74939%
- Travel & lodging$11,7331%
- Food & beverage$17,7462%
- Education$5700%
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 |
|---|---|---|
| Arthrex | 422 | $1,066,653 |
| Endo Pharmaceuticals Inc. | 18 | $29,255 |
| Axogen | 14 | $3,973 |
| Polynovo North America LLC | 46 | $2,621 |
| Coastal Medical Technologies LLC | 29 | $2,169 |
| DJO, LLC | 2 | $1,300 |
| MVP Orthopedics Inc | 12 | $1,217 |
| Amgen(2 entities) | 35 | $810 |
| Pylant Medical | 5 | $487 |
| Integra Lifesciences Corporation | 14 | $484 |
| Sanara Medtech Inc. | 4 | $272 |
| Stryker | 7 | $255 |
| Smoky Mountain Surgical LLC | 3 | $251 |
| Skeletal Dynamics Inc | 2 | $250 |
| Alafair Biosciences, Inc. | 1 | $238 |
| Zimmer Biomet | 5 | $222 |
| Johnson & Johnson(2 entities) | 5 | $208 |
| Smith+Nephew | 9 | $194 |
| Anika Therapeutics, Inc. | 1 | $193 |
| Orthofix Medical, Inc. | 3 | $152 |
| Organogenesis Inc. | 1 | $148 |
| Acumed LLC | 3 | $148 |
| Steelhead Surgical Inc | 1 | $107 |
| Exsomed Corporation | 1 | $97 |
| Checkpoint Surgical, Inc | 1 | $88 |
| Endo USA, Inc. | 3 | $75 |
| Avita Medical Americas, LLC | 1 | $73 |
| Biocircuit Technologies Inc | 1 | $66 |
| Bioventus LLC | 3 | $53 |
| Illuminoss Medical, Inc. | 1 | $51 |
| Zyla Life Sciences, Inc. | 3 | $50 |
| FX Shoulder Solutions, Inc | 1 | $41 |
| Globus Medical | 1 | $22 |
| Vertex | 1 | $20 |
| Convatec Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $15 |
| Trice Medical, Inc. | 1 | $12 |
| Fidia Pharma USA Inc. | 1 | $11 |
| ERMI LLC | 1 | $9 |
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.
- ARTHREX$2,670,507
- XIAFLEX$29,012
- DISTAL EXTREMITIES IMPLANTS TRAUMA MINI FRAGMENT$24,912
- DISTAL EXTREMITIES IMPLANTS HAND & WRIST MINI FRAGMENT$4,921
- AVANCE NERVE GRAFT$3,019
- AxoGuard Nerve Connector$2,465
- AxoGuard Nerve Protector$2,465
- Novosorb BTM$1,858
- AXOGUARD HA+ NERVE PROTECTOR$1,575
- AxoGuard Nerve Cap$1,575
- CAPITAL CONSUMABLES CONSUMABLES RF BRF$1,000
- EXOS$650
- INTEGRA$423
- PRIMATRIX$283
- INTEGRA DERMAL REGENERATION TEMPLATE$283
- Physio-Stim$261
- Geminus$250
- Align$250
- IJS$250
- Implate$250
How this compares
$1,112,309 in reported general payments places this provider in the 95th percentile of 1,263 orthopaedic surgery providers in Florida.
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 |
|---|---|---|
| Diclofenac Sodium | 77 | $2,321 |
| Celecoxib | 90 | $1,249 |
| Lidocaine | 15 | $1,070 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 72 | $354 |
| Meloxicam | 98 | $261 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 29 | $254 |
| Tramadol Hcl | 93 | $223 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Temple Terrace
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- Thomas BernasekTemple Terrace$6.4M
- Kenneth GustkeTemple Terrace$5.2M
- Mark MighellTemple Terrace$4.3M
- Christopher BakerTemple Terrace$575K
- John SmallTemple Terrace$467K
- Brian PalumboTemple Terrace$414K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
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.