Ariel Davila-Parrilla, MD
Orthopaedic Surgery · San Juan, PRNPI 1740571793
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (36.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Smith+Nephew at 56.2% of the total. Among orthopaedic surgery clinicians in PR 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 111 payments — averaging $187.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Arthrex$2K
- Stryker$2K
- Zimmer Biomet$2K
- Microport Orthopedics Inc$1K
- Exactech, Inc.$512
- plus $1K from 7 others
What the payments were for
- Consulting fees$5,22525%
- Speaking & faculty fees$1,5758%
- Travel & lodging$7,64237%
- Food & beverage$4,15520%
- Education$2,21811%
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 | 23 | $11,696 |
| Arthrex | 11 | $2,317 |
| Stryker | 24 | $1,870 |
| Zimmer Biomet | 21 | $1,767 |
| Microport Orthopedics Inc | 16 | $1,425 |
| Exactech, Inc. | 5 | $512 |
| Johnson And Johnson International | 4 | $379 |
| Medical Device Business Services, Inc. | 2 | $296 |
| Biomarin Pharmaceutical Inc. | 1 | $143 |
| Ferring Pharmaceuticals Inc. | 1 | $122 |
| Globus Medical | 1 | $101 |
| Johnson & Johnson | 1 | $100 |
| 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.
- Bone Anchors with Arthroscopic Delivery System$5,477
- MICRORAPTOR$4,196
- Q-FIX$3,068
- Ultrabraid$2,921
- Healicoil$2,386
- Bioinductive Implant with Arthroscopic Delivery System - Medium$1,575
- MPO Hip System$1,043
- Avenir$950
- MAKO$821
- CAP-FIX$535
- The Pink Hip Kit - Smith & Nephew Table$442
- ALTEON$396
- EVOS$250
- REDAPT$241
- ROSA-Knee$233
- Vimizim$143
- Naglazyme$143
- Brineura$143
- EVOS MINI$125
- EVOS SMALL$124
How this compares
$20,815 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Diclofenac Sodium | 47 | $569 |
| Naproxen | 59 | $482 |
| Cyclobenzaprine Hcl | 46 | $258 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $222 |
| Celecoxib | 11 | $210 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in San Juan
- David Beaton ComuladaSan Juan$29K
- Francisco Lopez-GonzalezSan Juan$16K
- Gerardo Perez RomanSan Juan$11K
- Edwin Rosado HernandezSan Juan$11K
- Luis RiosSan Juan$8K
- Ricardo FontanetSan Juan$7K
- Ramon Collazo BiglesSan Juan$6K
- Eric AstacioSan Juan$4K
- Ingrid Negron ValentinSan Juan$4K
- Roberto Colon-MirandaSan Juan$4K
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.