Andres Muniz Martinez, MD
Orthopaedic Surgery · Cayey, PRNPI 1932515392
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.5%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Smith+Nephew at 47.2% of the total. Reporting peaked in 2019 at $37,360 and has fallen 96.9% since, to $1,172 in 2025. Among orthopaedic surgery clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 53 payments — averaging $1056.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$26K
- Arthrex$20K
- Exactech, Inc.$3K
- Encore Medical, LP$3K
- RMC Orthopedic & Surgical, Inc.$2K
- Kairos Surgical Inc$811
- plus $1K from 6 others
What the payments were for
- Grants$20,00036%
- Travel & lodging$4,0567%
- Food & beverage$3,6376%
- Education$28,28451%
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 |
|---|---|---|
| Smith+Nephew | 7 | $26,427 |
| Arthrex | 3 | $20,263 |
| Exactech, Inc. | 3 | $2,743 |
| Encore Medical, LP | 17 | $2,527 |
| RMC Orthopedic & Surgical, Inc. | 5 | $1,876 |
| Kairos Surgical Inc | 2 | $811 |
| Johnson And Johnson International | 6 | $419 |
| Medical Device Business Services, Inc. | 1 | $300 |
| Zimmer Biomet | 5 | $225 |
| Johnson & Johnson | 2 | $180 |
| Stryker | 1 | $118 |
| Medtronic | 1 | $89 |
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.
- EQUINOXE$2,743
- DJO SURGICAL$1,754
- DJO Surgical Discovery Elbow System$529
- DJO Surgical AltiVate Anatomic System$255
- DJO Surgical AltiVate Reverse$255
- ROSA-Knee$135
- HEALIX$124
- GLOBAL$124
- DELTA$124
- AXSOS$118
- REUNION$118
- REELX$118
- T2$118
- VARIAX$118
- Bone Anchors with Arthroscopic Delivery System$103
- LCP PLATES & SCREWS$103
- ETHICON$101
- XARELTO$100
How this compares
$55,976 in reported general payments places this provider in the 95th percentile of 94 orthopaedic surgery providers in Puerto Rico.
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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 91 | $1,226 |
| Cefadroxil | 152 | $1,117 |
| Triamcinolone Acetonide | 83 | $775 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 69 | $524 |
| Clindamycin Hcl | 26 | $316 |
| Ketorolac Tromethamine | 18 | $281 |
| Methylprednisolone | 13 | $124 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Cayey
- Alberto Rivera RosadoSanturce$197K
- David Beaton ComuladaSan Juan$29K
- John KaganHumacao$27K
- Juan Santiago TorresHatillo$24K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
- Jose Rodriguez DiazDorado$14K
- Edil Jimenez-PerezBayamon$14K
- Eric Hernandez-OrtizPonce$14K
- Richard Valentin BlasiniBayamon$13K
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.