Victor Anciano Granadillo, MD
Orthopaedic Surgery · Louisville, KYNPI 1841686995
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.2%), grants and food and beverage — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Medline Industries LP at 36.0% of the total. Reporting peaked in 2024 at $28,173 and has fallen 50.3% since, to $13,993 in 2025. Among orthopaedic surgery clinicians in KY 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 227 payments — averaging $298.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medline Industries LP$24K
- Arthrex$11K
- Bone Support Inc.$8K
- Kerecis Limited$7K
- Stryker$5K
- International Life Sciences$5K
- plus $7K from 27 others
What the payments were for
- Consulting fees$29,25043%
- Speaking & faculty fees$5,5508%
- Grants$10,00015%
- Travel & lodging$8,37812%
- Food & beverage$9,98115%
- Education$4,5267%
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 |
|---|---|---|
| Medline Industries LP | 44 | $24,397 |
| Arthrex | 3 | $11,274 |
| Bone Support Inc. | 6 | $8,304 |
| Kerecis Limited | 8 | $7,446 |
| Stryker | 48 | $5,045 |
| International Life Sciences | 2 | $4,531 |
| Peerless Surgical Inc. | 4 | $2,187 |
| Alpha Orthopedic Systems | 8 | $1,597 |
| Smith+Nephew | 56 | $861 |
| Orthofix Medical, Inc. | 7 | $431 |
| Johnson & Johnson | 5 | $305 |
| Ossio Inc | 2 | $175 |
| Arteriocyte Medical Systems, Inc. | 2 | $145 |
| Edwards Lifesciences | 1 | $144 |
| Zimmer Biomet | 2 | $130 |
| Bioventus LLC | 3 | $110 |
| Vilex LLC | 1 | $96 |
| Sanara Medtech Inc. | 3 | $68 |
| Amgen(2 entities) | 4 | $65 |
| AbbVie | 3 | $48 |
| Acera Surgical, Inc. | 1 | $43 |
| Urgo Medical North America, LLC | 1 | $40 |
| Acumed LLC | 1 | $33 |
| Solventum Corporation | 2 | $33 |
| Integra Lifesciences Corporation | 2 | $31 |
| Ferring Pharmaceuticals Inc. | 1 | $30 |
| Avita Medical Americas, LLC | 1 | $27 |
| Melinta Therapeutics, LLC | 1 | $21 |
| Mimedx Group, Inc. | 1 | $18 |
| Vertex | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Avanos Medical | 1 | $12 |
| Next Science LLC | 1 | $8 |
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.
- MEDLINE$38,450
- Kerecis Omega3 Marigen$28,602
- MEDLINE UNITE$19,225
- MEDLINE INDUSTRIES, INC.$19,225
- PENDING$19,225
- CERAMENTBONE VOID FILLER$8,146
- CERAMENT G$8,146
- Kerecis Omega3 SurgiClose$7,844
- FLEXBAND$3,825
- HOFFMANN$1,660
- AUGMENT INJECTABLE$956
- PROPHECY$555
- Kerecis Omega3 GraftGuide$499
- INBONE$405
- FUSEFORCE$302
- INFINITY$301
- PRIME SERIES$236
- TRUELOK EVO$186
- INFINITY ADAPTIS$162
- TrueLok$158
How this compares
$67,685 in reported general payments places this provider in the 90th percentile of 322 orthopaedic surgery providers in Kentucky.
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 |
|---|---|---|
| Meloxicam | 49 | $1,357 |
| Oxycodone Hcl | 54 | $251 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $217 |
| Cephalexin | 19 | $91 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Louisville
- Arthur MalkaniLouisville$9.6M
- Jonathan YerasimidesLouisville$4.3M
- John LewisLouisville$1.5M
- Akbar NawabLouisville$1M
- Joseph GreeneLouisville$581K
- George QuillLouisville$304K
- Rodolfo Zamora RendichLouisville$292K
- Richard SweetLouisville$238K
- Frank BonnarensLouisville$146K
- Ryan EadsLouisville$99K
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.