Adam McNulty
Orthopaedic Surgery · San Antonio, TXNPI 1487115457
Payments from drug & device makers
Across 139 payments — averaging $297.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$21K
- Smith+Nephew$6K
- Shoulder Innovations, Inc.$6K
- Encore Medical, LP$4K
- Stryker$2K
- Peerless Surgical Inc.$365
- plus $2K from 16 others
What the payments were for
- Consulting fees$1,5004%
- Grants$23,75057%
- Travel & lodging$8,98422%
- Food & beverage$6,89517%
- Education$1570%
- Gifts$630%
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 |
|---|---|---|
| Arthrex | 12 | $21,321 |
| Smith+Nephew | 16 | $6,016 |
| Shoulder Innovations, Inc. | 12 | $5,780 |
| Encore Medical, LP | 7 | $3,651 |
| Stryker | 59 | $1,825 |
| Peerless Surgical Inc. | 5 | $365 |
| Mission Medical Distribution, LLC | 4 | $326 |
| Anika Therapeutics, Inc. | 2 | $304 |
| Carbofix Orthopedics Inc | 1 | $227 |
| Pacira Pharmaceuticals Incorporated | 2 | $223 |
| Integra Lifesciences Corporation | 1 | $169 |
| Exactech, Inc. | 1 | $169 |
| Alafair Biosciences, Inc. | 1 | $153 |
| Sanara Medtech Inc. | 3 | $136 |
| Bioventus LLC | 4 | $135 |
| Lima USA, Inc. | 1 | $126 |
| Foundation Medical, LLC | 2 | $107 |
| Zimmer Biomet | 1 | $96 |
| Orthofix Medical, Inc. | 1 | $84 |
| Medinc Of Texas | 2 | $82 |
| Vericel Corporation | 1 | $36 |
| Johnson & Johnson | 1 | $18 |
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.
- DJO SURGICAL$10,887
- InSet System$5,576
- Double Endobutton$1,802
- CAP-FIX$925
- Coblation$925
- Healicoil$925
- The Pink Hip Kit - Smith & Nephew Table$925
- INTEGRA$507
- INTEGRA DERMAL REGENERATION TEMPLATE$169
- PRIMATRIX$169
- EQUINOXE PHX SYSTEM$169
- Integrity implant$153
- VersaWrap$153
- Integrity$151
- MICRORAPTOR$144
- INSPACE$131
- EVOS MINI$127
- TWINFIX$127
- SMR Shoulder$126
- EXPAREL$125
How this compares
$41,349 in reported general payments places this provider in the 85th percentile of 1,337 orthopaedic surgery providers in Texas.
Other orthopaedic surgery in San Antonio
- Stephen BurkhartSan Antonio$185.3M
- Michael WirthSan Antonio$4.5M
- Charles BroomeSan Antonio$3.8M
- Christopher ChaputSan Antonio$1.1M
- Ravi KariaSan Antonio$1.1M
- Charles RockwoodSan Antonio$975K
- Frank ButtacavoliSan Antonio$932K
- Robert HartzlerSan Antonio$702K
- Bernard MorreySan Antonio$639K
- Animesh AgarwalSan Antonio$440K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.