Rodrigo Moreno Garcia, MD
Hand Surgery · Louisville, KYNPI 1285628537
Payments from drug & device makers
What this record shows
This record is dominated by education: $8,358 of the $10,090 with a category attached, or 82.8%. 11 manufacturers reported payments, led by Skeletal Dynamics Inc at 45.9% of the total. 2025 is the largest year on record at $4,895, 4.1 times the $1,201 reported in 2019.
Across 51 payments — averaging $197.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$5K
- Alpha Orthopedic Systems$4K
- Axogen$508
- Endo Pharmaceuticals Inc.$235
- Blue Surgical LLC$201
- Johnson & Johnson$166
- plus $474 from 5 others
What the payments were for
- Food & beverage$1,73217%
- Education$8,35883%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 4 | $4,631 |
| Alpha Orthopedic Systems | 12 | $3,876 |
| Axogen | 6 | $508 |
| Endo Pharmaceuticals Inc. | 13 | $235 |
| Blue Surgical LLC | 2 | $201 |
| Johnson & Johnson | 4 | $166 |
| Integra Lifesciences Corporation | 2 | $152 |
| Medartis Inc. | 2 | $142 |
| Smith+Nephew | 2 | $89 |
| Stryker | 1 | $47 |
| Endo USA, Inc. | 3 | $44 |
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.
- Geminus$4,500
- Align$4,500
- IJS$4,500
- Implate$4,500
- INTEGRA$405
- AVANCE NERVE GRAFT$348
- INTEGRA DERMAL REGENERATION TEMPLATE$135
- PRIMATRIX$135
- AxoGuard Nerve Connector$123
- AxoGuard Nerve Protector$123
- AXOGUARD HA+ NERVE PROTECTOR$123
- AxoGuard Nerve Cap$123
- APTUS$104
- VA-LCP PLATES & SCREWS$101
How this compares
$10,090 in reported general payments places this provider in the 85th percentile of 56 hand surgery providers in Kentucky.
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 | 165 | $577 |
| Tramadol Hcl | 67 | $102 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 21 | $60 |
| Cephalexin | 12 | $60 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Louisville
- Amitava GuptaLouisville$175K
- Tuna OzyurekogluLouisville$25K
- Stephanie MerimeeLouisville$16K
- Luke RobinsonLouisville$12K
- Monica PecacheLouisville$11K
- Michelle PalazzoLouisville$7K
- Jorge Quintero PerezLouisville$7K
- Elkin Galvis LeonLouisville$6K
- Kjell van RoyenLouisville$6K
- Yousif El-GammalLouisville$4K
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.