Daniel Romanelli, MD
Sports Medicine · Brownsville, TXNPI 1245391168
Payments from drug & device makers
Across 75 payments — averaging $257.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$8K
- Vericel Corporation$5K
- Miach Orthopaedics, Inc.$3K
- Rattan And Associates$2K
- Medinc Of Texas$1K
- Mission Medical Distribution, LLC$175
- plus $567 from 8 others
Across 1 payment — averaging $66.84 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.
- Dunamis Medical, LLC$67
What the payments were for
- Consulting fees$3,00016%
- Speaking & faculty fees$3,90020%
- Travel & lodging$3,53318%
- Food & beverage$2,88515%
- Education$6,01031%
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 | 40 | $7,527 |
| Vericel Corporation | 8 | $5,074 |
| Miach Orthopaedics, Inc. | 4 | $2,778 |
| Rattan And Associates | 6 | $1,863 |
| Medinc Of Texas | 3 | $1,344 |
| Mission Medical Distribution, LLC | 1 | $175 |
| Stryker | 4 | $163 |
| Linvatec Corporation | 1 | $137 |
| Optinose US, Inc. | 1 | $122 |
| Acumed LLC | 1 | $52 |
| Ferring Pharmaceuticals Inc. | 2 | $39 |
| Sanofi-aventis U.S. LLC | 2 | $23 |
| Bioventus LLC | 1 | $17 |
| Abbott | 1 | $15 |
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.
- MACI$5,006
- BioBrace 23mm$137
- Xhance$122
- INSPACE$103
How this compares
$19,328 in reported general payments places this provider in the 80th percentile of 437 sports medicine providers in Texas.
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 | 11 | $727 |
| Meloxicam | 30 | $59 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Brownsville
- Timothy VachrisAustin$5.7M
- Thomas DeberardinoSan Antonio$3.5M
- Mark HutchensAustin$2.5M
- Robert ScheinbergDallas$2.2M
- Marc LabbeThe Woodlands$2M
- Walter LoweHouston$1.4M
- Reed BartzSunnyvale$1.2M
- David BrownHouston$920K
- James GregoryHouston$848K
- Matthew HiggsHouston$634K
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.