RxDoctor Payments Data

Adam Harris

Adult Reconstructive Orthopaedic Surgery · San Antonio, TXNPI 1114905478

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (59.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 99.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $55,976 and has fallen 99.6% since, to $214 in 2025.

$65,445in general payments, 2019–2025

Across 65 payments — averaging $1006.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$65K
  • Brixton Biosciences, Inc.$143
  • Takeda Pharmaceuticals U.S.A., Inc.$90
  • Alafair Biosciences, Inc.$85
  • Vertex$54
  • Baxter Healthcare$49
  • plus $135 from 7 others
$54,727in research payments, 2019–2025

Across 23 payments — averaging $2379.43 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.

  • Brixton Biosciences, Inc.$33K
  • Smith+Nephew$21K

What the payments were for

  • Consulting fees$38,62559%
  • Speaking & faculty fees$21,25032%
  • Travel & lodging$3,3525%
  • Food & beverage$2,2193%

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$65,445 in reported general payments places this provider in the 75th percentile of 86 adult reconstructive orthopaedic surgery providers in Texas.

See all adult reconstructive orthopaedic surgery providers in Texas

Most prescribed under Part D

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen63$883
Naproxen41$271
Amoxicillin92$167
Azithromycin23$69
Meloxicam12$33

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in San Antonio

See the full list for Texas

Where these figures come from

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