Roberto Hernandez-Irizarry, MD
Orthopaedic Trauma · Atlanta, GANPI 1093143497
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,489 of the $7,308 with a category attached, or 75.1%. 10 manufacturers reported payments, led by Smith+Nephew at 45.3% of the total. Reporting peaked in 2021 at $2,105 and has fallen 81.5% since, to $390 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in GA, where the typical reported total is $14,838.
Across 88 payments — averaging $83.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Johnson & Johnson$2K
- Stryker$2K
- Globus Medical$197
- My01 Inc.$156
- Medical Device Business Services, Inc.$125
- plus $175 from 4 others
What the payments were for
- Travel & lodging$1,81925%
- Food & beverage$5,48975%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 29 | $3,309 |
| Johnson & Johnson | 27 | $1,763 |
| Stryker | 21 | $1,583 |
| Globus Medical | 3 | $197 |
| My01 Inc. | 1 | $156 |
| Medical Device Business Services, Inc. | 2 | $125 |
| Integrum Inc. | 1 | $72 |
| Atricure, Inc. | 1 | $36 |
| Acumed LLC | 1 | $35 |
| Biocomposites Inc | 2 | $31 |
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.
- Taylor Spatial Frame$2,005
- NA$1,103
- EVOS$892
- GAMMA$588
- TRIGEN InterTAN$504
- VA-LCP$267
- TFN-Advance$248
- Jet-X$226
- Invisiknot$226
- EVOS SMALL$210
- META TAN$210
- TRIGEN$188
- A/R Femoral Nail$168
- EX-FIX$159
- MY01 Continuous Compartmental Pressure Monitor$156
- PELVIS II$148
- Ilizarov System$148
- HOFFMANN$135
- SPATIAL FRAME$111
How this compares
$7,308 in reported general payments places this provider in the 35th percentile of 28 orthopaedic trauma providers in Georgia.
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 |
|---|---|---|
| Oxycodone Hcl | 41 | $147 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Atlanta
- Michael MaceroliAtlanta$385K
- Daniel SchlattererAtlanta$69K
- Mara SchenkerAtlanta$59K
- Helyn FraserAtlanta$2K
- Jerad AllenAtlanta$1K
- Thomas MooreAtlanta$500
- Bruce ZiranLawrenceville$2.4M
- William TerrellMarietta$669K
- James BlairAugusta$417K
- Daniel ChanMacon$253K
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.