Emil Pastrana Ramirez, MD
Neurological Surgery · Fajardo, PRNPI 1710182118
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $7,766 of the $10,808 with a category attached, or 71.9%. Globus Medical accounts for 74.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $5,151 and has fallen 53.7% since, to $2,385 in 2025.
Across 48 payments — averaging $225.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$8K
- RMC Orthopedic & Surgical, Inc.$1K
- Arthrex$703
- Medtronic$297
- Zimmer Biomet$223
- Baxter Healthcare$140
- plus $362 from 4 others
What the payments were for
- Travel & lodging$7,76672%
- Food & beverage$2,04219%
- Education$1,0009%
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 |
|---|---|---|
| Globus Medical(2 entities) | 26 | $8,051 |
| RMC Orthopedic & Surgical, Inc. | 2 | $1,032 |
| Arthrex | 4 | $703 |
| Medtronic(2 entities) | 6 | $297 |
| Zimmer Biomet | 4 | $223 |
| Baxter Healthcare | 1 | $140 |
| Olympus Latin America, Inc. | 2 | $136 |
| Medexus Pharma, Inc. | 1 | $122 |
| GS Solutions, Inc. | 1 | $83 |
| AstraZeneca | 1 | $20 |
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.
- ExcelsiusGPS Robotic Navigation System$3,018
- REVERE 4.5$1,711
- RISE$1,514
- ALIF$491
- ACP$266
- XLIF$200
- Excelsius - GPS$166
- TISSEEL$140
- ORBEYE SURGICAL MICROSCOPE$124
- Gleolan$122
- Hedron$120
- COALITION AGX$120
How this compares
$10,808 in reported general payments places this provider in the 80th percentile of 39 neurological 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 | 11 | $288 |
| Tizanidine Hcl | 26 | $245 |
| Gabapentin | 13 | $228 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fajardo
- Rafael Cardona DuranGuaynabo$72K
- Rodolfo AlcedoSan Juan$38K
- David LozadaManati$20K
- Samuel Estronza-OjedaCaguas$20K
- Yadira DacostaHumacao$18K
- Rafael Rodriguez-MercadoSan Juan$17K
- Fanor Saavedra PozoSan Juan$11K
- Cesar CarballoSan Juan$9K
- Michael LopezSan Juan$8K
- Jose Fernandez AbinaderMoca$6K
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.