Ryan Fairchild, MD
Orthopaedic Trauma · Waco, TXNPI 1528454493
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,928 of the $9,579 with a category attached, or 61.9%. 11 manufacturers reported payments, led by Stryker at 37.9% of the total. Reporting peaked in 2022 at $3,692 and has fallen 80.4% since, to $724 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in TX, where the typical reported total is $14,950.
Across 104 payments — averaging $92.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Arthrex$3K
- Pylant Medical$1K
- Smith+Nephew$837
- Johnson & Johnson$648
- Osteocentric Technologies, Inc.$159
- plus $283 from 5 others
What the payments were for
- Travel & lodging$2,45126%
- Food & beverage$5,92862%
- Education$1,20013%
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 |
|---|---|---|
| Stryker | 37 | $3,627 |
| Arthrex | 16 | $2,633 |
| Pylant Medical | 24 | $1,393 |
| Smith+Nephew | 9 | $837 |
| Johnson & Johnson | 11 | $648 |
| Osteocentric Technologies, Inc. | 1 | $159 |
| Flower Orthopedics Coporation | 1 | $112 |
| Acell, Inc. | 1 | $102 |
| Globus Medical | 2 | $48 |
| MVP Orthopedics Inc | 1 | $17 |
| Biocomposites Inc | 1 | $4 |
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.
- PRO$1,356
- ACCOLADE$835
- TRIGEN InterTAN$375
- NA$374
- MAKO$288
- TFN-Advance$225
- T2$175
- Unifi Technology$159
- EVOS SMALL$136
- MINIBUNION$125
- DISTAL EXTREMITIES IMPLANTS EXTREMITY FRACTURE MANAGEMENT ANKLE FRACTURE$119
- EVOS MINI$119
- EVOS$119
- TRIGEN$119
- Invisiknot$109
- Jet-X$109
- VA-LCP$100
How this compares
$9,579 in reported general payments places this provider in the 40th percentile of 74 orthopaedic trauma providers in Texas.
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 | 26 | $274 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Waco
- Jacob DavisWaco$16K
- Cory CollingeFort Worth$2.8M
- John MunzHouston$1M
- Kyle DicksonHouston$975K
- Timothy AchorHouston$561K
- Jonathan EastmanHouston$361K
- Stephen WarnerHouston$357K
- Edgar AraizaDallas$270K
- Milton L RouttHouston$266K
- Andrew ChooHouston$262K
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.