Large Fragment
Payments companies reported to CMS as associated with Large Fragment. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Large Fragment, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Large Fragment
These are the largest totals companies reported as associated with Large Fragment. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Luis Colon | Dallas, TX | Orthopaedic Surgery of The Spine | $104.72 |
| Corey Bindner | Tyler, TX | Orthopaedic Surgery | $104.72 |
| Augustine Saiz | Sacramento, CA | Orthopaedic Trauma | $100.73 |
| David Polonet | Neptune, NJ | Orthopaedic Surgery | $81.19 |
| Julius Bishop | Stanford, CA | Orthopaedic Trauma | $42.53 |
| Jefferson Murphree | Lubbock, TX | Orthopaedic Trauma | $29.38 |
| Mark Jenkins | Lubbock, TX | Orthopaedic Trauma | $29.37 |
| Paul Goodwyn | Scottsdale, AZ | Orthopaedic Surgery | $27.50 |
| Rama Chandran | Torrance, CA | Orthopaedic Surgery | $19.03 |
| Shaun Chandran | Torrance, CA | Orthopaedic Surgery | $19.03 |
Prescribed Large Fragment?
See what its makers reported for your doctor. Two steps, private, no account.
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.