Borja Santaella Sante, MD
Hand Surgery · Caguas, PRNPI 1396000477
Payments from drug & device makers
Across 31 payments — averaging $760.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Smith+Nephew$9K
- Encore Medical, LP$5K
- Axogen$151
- Medtronic$72
- RMC Orthopedic & Surgical, Inc.$54
- plus $97 from 2 others
What the payments were for
- Speaking & faculty fees$1,5006%
- Grants$10,00042%
- Travel & lodging$2,32910%
- Food & beverage$1,6657%
- Education$8,07534%
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 | 2 | $10,140 |
| Smith+Nephew | 5 | $8,547 |
| Encore Medical, LP | 18 | $4,508 |
| Axogen | 2 | $151 |
| Medtronic | 1 | $72 |
| RMC Orthopedic & Surgical, Inc. | 1 | $54 |
| Acumed LLC | 1 | $48 |
| Skeletal Dynamics Inc | 1 | $48 |
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 AltiVate Reverse$2,138
- DJO Surgical AltiVate Anatomic System$2,076
- DJO SURGICAL$1,548
- Bone Anchors with Arthroscopic Delivery System$252
- Hat-Trick$220
- MINITAC$220
- EVOS$220
- EVOS MINI$220
- FAST-FIX$120
- ECTRA$100
How this compares
Too few hand surgery providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 | 96 | $849 |
| Ketorolac Tromethamine | 60 | $748 |
| Meloxicam | 81 | $391 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 50 | $384 |
| Cefadroxil | 30 | $301 |
| Gabapentin | 25 | $127 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Caguas
- Christian FoySan Juan$3K
- Jose Santiago FigueroaSan Juan$490
- Omar MoralesGuaynabo$131
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.