Roy Cardoso, MD
Hand Surgery · Coral Gables, FLNPI 1326120049
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (33.1%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by Skeletal Dynamics Inc at 31.5% of the total. Reporting peaked in 2024 at $19,924 and has fallen 53.0% since, to $9,360 in 2025. Among hand surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 243 payments — averaging $324.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$25K
- Arthrex$19K
- Trice Medical, Inc.$19K
- Southern Edge Orthopaedics, Inc.$3K
- Axogen$2K
- Acumed LLC$2K
- plus $9K from 31 others
What the payments were for
- Consulting fees$15,17519%
- Speaking & faculty fees$18,70024%
- Travel & lodging$7,66310%
- Food & beverage$10,87114%
- Education$26,05933%
- Gifts$670%
- Other$2280%
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 | 12 | $24,780 |
| Arthrex | 36 | $18,933 |
| Trice Medical, Inc. | 35 | $18,674 |
| Southern Edge Orthopaedics, Inc. | 5 | $3,324 |
| Axogen | 9 | $2,483 |
| Acumed LLC | 16 | $1,609 |
| Integra Lifesciences Corporation | 16 | $1,392 |
| Illuminoss Medical, Inc. | 7 | $1,210 |
| Amgen(2 entities) | 42 | $1,117 |
| Sonex Health, Inc. | 6 | $759 |
| Medartis Inc. | 1 | $625 |
| Arthrosurface Incorporated | 4 | $499 |
| Trimed, Inc. | 3 | $467 |
| Endo USA, Inc. | 7 | $416 |
| Endo Pharmaceuticals Inc. | 11 | $408 |
| Embody, Inc. | 2 | $382 |
| Johnson & Johnson | 3 | $280 |
| Tulavi Therapeutics, Inc. | 2 | $235 |
| US Implant Solutions, LLC | 1 | $232 |
| Biotissue Holdings Inc. | 3 | $170 |
| Tenex Health Inc. | 1 | $119 |
| Biocircuit Technologies Inc | 1 | $100 |
| Stryker(2 entities) | 3 | $70 |
| Convatec Inc. | 2 | $69 |
| Ossio Inc | 1 | $68 |
| Pylant Medical | 1 | $45 |
| Smith+Nephew | 2 | $45 |
| Orthofix Medical, Inc. | 1 | $44 |
| Organogenesis Inc. | 1 | $31 |
| Bioventus LLC | 2 | $28 |
| Aroa Biosurgery Incorporated | 1 | $24 |
| DJO, LLC | 1 | $24 |
| Fidia Pharma USA Inc. | 1 | $21 |
| GE HealthCare | 1 | $21 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| Zimmer Biomet | 1 | $19 |
| Biedermann Motech, Inc. | 1 | $18 |
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$24,520
- Align$24,520
- IJS$24,520
- Implate$24,520
- INTEGRA$2,793
- Segway blade or mieye camera$2,122
- AVANCE NERVE GRAFT$2,043
- INTEGRA DERMAL REGENERATION TEMPLATE$931
- PRIMATRIX$931
- Photodynamic Bone Stabilization Procedure Pack$800
- Sx-One Microknife$655
- APTUS$625
- XIAFLEX$402
- HemiCAP Wrist$270
- ACUMED$230
- ALLAY NERVE CAP - SMALL NERVE SET$215
- TENOGLIDE$144
- DYNACORD$134
- NEOX$127
- CLARIX$127
How this compares
$78,764 in reported general payments places this provider in the 90th percentile of 173 hand 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 |
|---|---|---|
| Ibuprofen | 20 | $61 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Coral Gables
- Elizabeth OuelletteCoral Gables$33K
- Eduardo Gonzalez HernandezCoral Gables$7K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Justin ZumstegOrlando$133K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
- Helen Hui-ChouMiami$95K
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.