RxDoctor Payments Data

Edwin Rosado Hernandez, MD

Orthopaedic Surgery · San Juan, PRNPI 1134515091

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (45.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Smith+Nephew at 55.0% of the total. Reporting peaked in 2022 at $3,826 and has fallen 65.0% since, to $1,339 in 2025.

$11,418in general payments, 2019–2025

Across 39 payments — averaging $292.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$6K
  • Zimmer Biomet$3K
  • Encore Medical, LP$1K
  • Medical Device Business Services, Inc.$199
  • Stryker$199
  • The Orthopaedic Implant Company$85
  • plus $84 from 3 others

What the payments were for

  • Travel & lodging$2,57623%
  • Food & beverage$3,66732%
  • Education$5,17545%

General payments by program year

19
21
22
24
25

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.

CompanyPaymentsTotal
Smith+Nephew15$6,282
Zimmer Biomet10$3,280
Encore Medical, LP6$1,289
Medical Device Business Services, Inc.2$199
Stryker2$199
The Orthopaedic Implant Company1$85
Acumed LLC1$48
Johnson & Johnson1$25
Genentech USA, Inc.1$11

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.

How this compares

$11,418 in reported general payments places this provider in the 85th percentile of 94 orthopaedic surgery providers in Puerto Rico.

See all orthopaedic surgery providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$39,976
Medicare patients
72
Services billed
149

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

DrugClaimsCost to plans & patients
EliquisApixaban32$12,619
Acetaminophen-CodeineAcetaminophen With Codeine172$4,004
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen91$1,141
Celecoxib70$1,100
Omeprazole153$789
Meloxicam142$775
Diclofenac Potassium26$748
Cefadroxil14$172
Tramadol Hcl27$133
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim20$123
Amoxicillin13$34

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in San Juan

See the full list for Puerto Rico

Where these figures come from

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