Thomas Serena, MD
Surgery · Shenandoah, TXNPI 1194714139
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $74,401 of the $105,636 with a category attached, or 70.4%. 25 manufacturers reported payments, led by Geistlich Pharma, North America, Inc. at 53.0% of the total. Reporting peaked in 2020 at $47,563 and has fallen 95.0% since, to $2,394 in 2025. Among surgery clinicians in TX 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 60 payments — averaging $1760.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Geistlich Pharma, North America, Inc.$56K
- Medline Industries LP$21K
- Sanara Medtech Inc.$7K
- Molnlycke Health Care US, LLC$6K
- Arjo Inc.$5K
- Smith+Nephew$3K
- plus $8K from 19 others
Across 109 payments — averaging $13,027 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanara Medtech Inc.$433K
- DSM Biomedical$341K
- Huntleigh Healthcare Ltd.$215K
- Next Science LLC$199K
- Medline Industries LP$84K
- Molnlycke Health Care AB$59K
- plus $90K from 3 others
What the payments were for
- Consulting fees$74,40170%
- Speaking & faculty fees$4,9005%
- Grants$22,63021%
- Travel & lodging$1,0881%
- Food & beverage$2,6182%
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 |
|---|---|---|
| Geistlich Pharma, North America, Inc. | 2 | $55,981 |
| Medline Industries LP | 2 | $20,727 |
| Sanara Medtech Inc. | 6 | $7,458 |
| Molnlycke Health Care US, LLC | 4 | $5,652 |
| Arjo Inc. | 1 | $5,000 |
| Smith+Nephew | 7 | $2,851 |
| Medtronic | 9 | $2,617 |
| Integra Lifesciences Corporation | 4 | $2,414 |
| Hartmann USA, Inc. | 2 | $1,659 |
| Convatec Inc. | 5 | $375 |
| Inari Medical, Inc. | 1 | $164 |
| Acera Surgical, Inc. | 1 | $117 |
| Kerecis Limited | 1 | $115 |
| Abbott | 1 | $112 |
| Organogenesis Inc. | 2 | $92 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $64 |
| Next Science LLC | 2 | $35 |
| KCI USA, Inc. | 2 | $33 |
| Mimedx Group, Inc. | 1 | $33 |
| W. L. Gore & Associates, Inc. | 1 | $32 |
| Urgo Medical North America, LLC | 1 | $28 |
| Solventum Corporation | 1 | $23 |
| AbbVie | 1 | $22 |
| Aroa Biosurgery Incorporated | 1 | $18 |
| 3M Company | 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.
- Derma Gide$47,431
- DermaGide$8,550
- Mepilex Border Flex$5,000
- WoundExpress$5,000
- Biasurge$4,829
- VERSAJET II$2,520
- CellerateRx$2,500
- BILAYER WOUND MATRIX (BWM)$2,400
- FLOWABLE$2,400
- INTEGRA WOUND MATRIX (IWM)$2,400
- IDRT$2,400
- Zetuvit Plus$1,600
- Kerecis Omega3 Marigen$345
- GRAFIX PL$254
- FLOWTRIEVER CATHETER, S$164
- CT THROMBECTOMY SYSTEM KIT$164
- Endurant$157
- INNOVAMATRIX PD$150
- InnovaMatrix AC$150
- Valiant Captivia$149
How this compares
$105,636 in reported general payments places this provider in the 95th percentile of 1,830 surgery 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.
Other surgery in Shenandoah
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
- Erik WilsonBellaire$610K
- Folahan AyoolaDenton$570K
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.