Ryan Garcia, MD
Hand Surgery · Charlotte, NCNPI 1063626877
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.1%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Integra Lifesciences Corporation accounts for 81.9% of it on its own, with 15 other manufacturers making up the rest. Among hand surgery clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 369 payments — averaging $1032.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$312K
- Acumed LLC$67K
- Synthes GmbH$500
- Curvafix, Inc.$500
- Axogen$367
- Field Orthopaedics Pty Ltd$133
- plus $707 from 10 others
What the payments were for
- Royalty or licence$1330%
- Consulting fees$225,13759%
- Speaking & faculty fees$99,51026%
- Travel & lodging$47,35012%
- Food & beverage$8,8252%
- Education$2120%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 288 | $312,023 |
| Acumed LLC | 60 | $66,938 |
| Synthes GmbH | 1 | $500 |
| Curvafix, Inc. | 1 | $500 |
| Axogen | 4 | $367 |
| Field Orthopaedics Pty Ltd | 1 | $133 |
| Trice Medical, Inc. | 1 | $131 |
| Osteomed LLC | 1 | $122 |
| Endo Pharmaceuticals Inc. | 2 | $104 |
| Ossur Americas, Inc. | 2 | $77 |
| Peerless Surgical Inc. | 2 | $75 |
| AbbVie | 1 | $73 |
| Teva Pharmaceuticals USA, Inc. | 2 | $57 |
| Johnson & Johnson | 1 | $30 |
| Exsomed Corporation | 1 | $24 |
| Bioventus LLC | 1 | $15 |
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.
- INTEGRA$322,783
- INTEGRA WOUND MATRIX (IWM)$112,027
- BILAYER WOUND MATRIX (BWM)$75,557
- FLOWABLE$75,557
- IDRT$74,560
- INTEGRA MESHED BILAYER WOUND MATRIX$37,567
- NEURAGEN$37,448
- PRIMATRIX$32,176
- Hand Fracture System$31,097
- ACUMED$30,858
- Anatomic Radial Head System$30,651
- Elbow Plating System$30,529
- Acu-Loc Wrist Plating System$18,800
- Osteotomy System$17,475
- TENOGLIDE$16,315
- Clavicle Plating System$12,528
- Scapula Plating System$12,528
- INTEGRA DERMAL REGENERATION TEMPLATE$10,596
- ADVANCED WOUND CARE$8,385
- CYTAL$6,900
How this compares
$381,169 in reported general payments places this provider in the 95th percentile of 79 hand surgery providers in North Carolina.
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 | 37 | $228 |
| Cephalexin | 39 | $123 |
| Tramadol Hcl | 11 | $23 |
| Meloxicam | 14 | $20 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Charlotte
- Raymond GastonCharlotte$505K
- Erika GanttCharlotte$9K
- Michael AversanoCharlotte$2K
- John GaulCharlotte$825
- William WardCharlotte$745
- Peter WatersCharlotte$475
- Christpher KliftoDurham$575K
- Richard MooreWilmington$177K
- Erica TaylorRaleigh$97K
- Tyler PidgeonMorrisville$50K
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.