Tibor Warganich, MD
Hand Surgery · Dakota Dunes, SDNPI 1942513973
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (29.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Trimed, Inc. at 32.9% of the total. 2025 is the largest year on record at $10,273, 2.0 times the $5,133 reported in 2019.
Across 61 payments — averaging $408.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$8K
- Acumed LLC$6K
- Conetic Solutions, Inc.$5K
- Gemini Medical LLC$3K
- Arthrex$2K
- Axogen$1K
- plus $455 from 4 others
What the payments were for
- Consulting fees$5002%
- Speaking & faculty fees$7,32529%
- Travel & lodging$7,28629%
- Food & beverage$2,97012%
- Education$6,82727%
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 |
|---|---|---|
| Trimed, Inc. | 13 | $8,185 |
| Acumed LLC | 8 | $5,792 |
| Conetic Solutions, Inc. | 8 | $5,175 |
| Gemini Medical LLC | 3 | $2,697 |
| Arthrex | 14 | $1,540 |
| Axogen | 8 | $1,063 |
| Endo Pharmaceuticals Inc. | 3 | $147 |
| Exsomed Corporation | 1 | $108 |
| Stryker | 2 | $100 |
| Integra Lifesciences Corporation | 1 | $100 |
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.
- ACUMED$11,417
- INnate Implant$5,925
- Tools - WFS$3,197
- AXOGUARD$1,077
- AXOGUARD HA+ NERVE PROTECTOR$539
- AxoGuard Nerve Cap$539
- XIAFLEX$124
- InFrame Implant$108
- ArrowPhix System$108
- ArcPhix System$108
- TENOGLIDE$100
How this compares
Too few hand surgery providers in South Dakotato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Doxycycline Monohydrate | 14 | $239 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $70 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Dakota Dunes
- Elizabeth HelsperSioux Falls$7K
- Robert VandemarkSioux Falls$2K
- Kathlyn DrexlerSioux Falls$2K
- Zachary FinleyRapid City$2K
- David JonesSioux Falls$1K
- Matthew AndersonSioux Falls$865
- Scott McPhersonSioux Falls$756
- Rocio Fuentes BarrowSioux Falls$592
- Hillary BeckerSioux Falls$439
- Aaron DykstraRapid City$147
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.