Nicholas Caggiano, MD
Surgery of the Hand · San Luis Obispo, CANPI 1306133699
Payments from drug & device makers
What this record shows
Axogen accounts for 80.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $1,150 and has fallen 94.9% since, to $59 in 2025. That places this record below the midpoint for surgery of the hand clinicians in CA, where the typical reported total is $1,557.
Across 13 payments — averaging $108.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Skeletal Dynamics Inc$110
- Endo Pharmaceuticals Inc.$50
- Johnson & Johnson$26
- Orthofix Medical, Inc.$21
- Medtronic$19
- plus $51 from 3 others
What the payments were for
- Travel & lodging$77255%
- Food & beverage$63845%
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 |
|---|---|---|
| Axogen | 3 | $1,134 |
| Skeletal Dynamics Inc | 1 | $110 |
| Endo Pharmaceuticals Inc. | 3 | $50 |
| Johnson & Johnson | 1 | $26 |
| Orthofix Medical, Inc. | 1 | $21 |
| Medtronic | 1 | $19 |
| Bioventus LLC | 1 | $18 |
| Cornerstone Medical Associates, Inc. | 1 | $17 |
| DJO, LLC | 1 | $16 |
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.
- AxoGuard Nerve Connector$1,134
- AxoGuard Nerve Protector$1,134
- Geminus$110
- Align$110
- IJS$110
- Implate$110
How this compares
$1,410 in reported general payments places this provider in the 45th percentile of 76 surgery of the hand providers in California.
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 | 70 | $340 |
| Cephalexin | 15 | $204 |
| Tramadol Hcl | 24 | $43 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in San Luis Obispo
- Bauback SafaSan Francisco$172K
- Emily Perezla Mirada$56K
- Joshua GluckVentura$26K
- Howard SutkinLos Gatos$22K
- Aaron BergerOakland$14K
- Nicole ConklingOrange$14K
- Marie DuschSanta Maria$11K
- Andre IshakOxnard$11K
- Alfonso CamberosSan Diego$10K
- James ColemanOrange$9K
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.