Sandra Garcia
Foot Surgery · Bronx, NYNPI 1992707665
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,483 of the $6,490 with a category attached, or 84.5%. 24 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 24.0% of the total. Reporting peaked in 2022 at $2,246 and has fallen 54.4% since, to $1,025 in 2025. Among foot surgery clinicians in NY 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 149 payments — averaging $43.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$2K
- Tactile Systems Technology Inc$1K
- Paratek Pharmaceuticals, Inc.$933
- Amgen$918
- Smith+Nephew$502
- Nevro Corp.$173
- plus $1K from 18 others
What the payments were for
- Travel & lodging$1,00816%
- Food & beverage$5,48384%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 8 | $1,558 |
| Tactile Systems Technology Inc | 19 | $1,025 |
| Paratek Pharmaceuticals, Inc. | 30 | $933 |
| Amgen(2 entities) | 27 | $918 |
| Smith+Nephew | 34 | $502 |
| Nevro Corp. | 2 | $173 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $170 |
| Aroa Biosurgery Incorporated | 1 | $153 |
| Averitas Pharma Inc. | 5 | $144 |
| LEO Pharma Inc. | 1 | $125 |
| Organogenesis Inc. | 1 | $125 |
| IBSA Pharma Inc. | 1 | $125 |
| Stryker | 1 | $98 |
| Medtronic | 3 | $86 |
| AstraZeneca | 2 | $54 |
| Bioventus LLC | 1 | $48 |
| Incyte Corporation | 2 | $48 |
| Kerecis Limited | 1 | $47 |
| Orthofix Medical, Inc. | 2 | $42 |
| Shield Therapeutics Inc | 2 | $40 |
| Exact Sciences | 1 | $25 |
| AbbVie | 1 | $22 |
| Collaborative Care Diagnostics, LLC | 1 | $19 |
| Advanced Oxygen Therapy Inc. | 2 | $12 |
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.
- Lapiplasty System$1,506
- Flexitouch Plus$709
- KRYSTEXXA$506
- Nimbl$424
- NUZYRA$371
- Entre Plus$285
- REGRANEX$235
- Omnia$144
- ADBRY$125
- Puraply Antimicrobial$125
- Licart$125
- Santyl$124
- Oasis$124
How this compares
$6,490 in reported general payments places this provider in the 90th percentile of 294 foot surgery providers in New York.
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 |
|---|---|---|
| Diflorasone Diacetate | 20 | $16,642 |
| Doxepin Hcl | 95 | $12,483 |
| Naftifine Hcl | 22 | $12,244 |
| Ketoconazole | 81 | $5,124 |
| Fluocinonide | 49 | $3,972 |
| Diclofenac Sodium ErDiclofenac Sodium | 34 | $2,834 |
| Naproxen Sodium | 15 | $2,108 |
| Ciclopirox | 27 | $1,495 |
| Fluconazole | 11 | $1,320 |
| Clotrimazole | 38 | $1,202 |
| Ammonium Lactate | 23 | $340 |
| Mupirocin | 32 | $194 |
| Nabumetone | 20 | $100 |
| Gabapentin | 26 | $54 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $44 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Bronx
- David WongBronx$45K
- Jian ZhangBronx$4K
- Ronald GubermanRidgewood$337K
- John JackaloneBethpage$66K
- Berdj StepanianWhite Plains$26K
- Lawrence SantiBrooklyn$25K
- David GitlinBayside$24K
- Rick DelmonteNew York$21K
- Corrine RenneFranklin Square$20K
- Charles MorelliMamaroneck$18K
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.