Fernando Villamil, MD
Orthopaedic Surgery of the Spine · San Juan, PRNPI 1982647418
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $405,858 of the $539,545 with a category attached, or 75.2%. 25 manufacturers reported payments, led by L&k Biomed CO. , LTD. at 46.7% of the total. Reporting peaked in 2024 at $274,775 and has fallen 93.2% since, to $18,808 in 2025.
Across 291 payments — averaging $1854.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- L&k Biomed CO. , LTD.$252K
- Globus Medical$190K
- 4web, Inc.$50K
- Seaspine Orthopedics Corporation$11K
- Zsfab, Inc.$10K
- Aegis Spine, Inc.$10K
- plus $17K from 19 others
What the payments were for
- Royalty or licence$405,85875%
- Consulting fees$90,92417%
- Speaking & faculty fees$6000%
- Travel & lodging$26,9265%
- Food & beverage$15,2373%
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 |
|---|---|---|
| L&k Biomed CO. , LTD. | 3 | $251,814 |
| Globus Medical(2 entities) | 115 | $189,728 |
| 4web, Inc. | 32 | $49,686 |
| Seaspine Orthopedics Corporation | 18 | $10,610 |
| Zsfab, Inc. | 7 | $10,258 |
| Aegis Spine, Inc. | 2 | $10,135 |
| Si-bone, Inc. | 49 | $4,831 |
| Orthofix Medical, Inc. | 3 | $3,250 |
| Corelink, LLC | 15 | $3,151 |
| Medical Device Business Services, Inc. | 5 | $2,027 |
| Spineology Inc. | 7 | $1,752 |
| Medtronic(2 entities) | 9 | $610 |
| Alphatec Spine, Inc | 6 | $568 |
| Stryker | 4 | $299 |
| Johnson & Johnson | 4 | $278 |
| Spinal Surgical Strategies, Inc. | 1 | $137 |
| Spinal Elements, Inc. | 1 | $125 |
| Camber Spine Technologies LLC | 2 | $78 |
| Spinal Simplicity, LLC | 1 | $72 |
| Abbott | 2 | $47 |
| Arbor Pharmaceuticals, Inc. | 1 | $20 |
| Pfizer | 1 | $20 |
| Providence Medical Technology, Inc. | 1 | $19 |
| Convatec Inc. | 1 | $19 |
| Life Spine, Inc. | 1 | $14 |
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.
- Modulus$155,358
- SPINE TRUSS SYSTEM$49,174
- TLIF$20,841
- XLIF$9,005
- Mariner MIS$5,750
- Regatta$5,143
- Admiral$4,000
- ExcelsiusGPS Robotic Navigation System$3,018
- iFuse Implant$2,198
- Excelsius - GPS$2,098
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$1,627
- Regatta Lateral System$1,500
- ALIF$1,214
- Brigade$1,214
- RISE-L$697
- Excelsius Robotics System$281
- Excelsius Deformity$182
- Excelsius3D Imaging System$169
- INCEPTIV$149
- Guided Instruments$143
How this compares
Too few orthopaedic surgery of the spine 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 244 | $3,805 |
| Gabapentin | 434 | $3,127 |
| Methylprednisolone | 238 | $1,984 |
| Celecoxib | 62 | $1,484 |
| Pregabalin | 66 | $1,411 |
| Orphenadrine Citrate ErOrphenadrine Citrate | 22 | $1,003 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 94 | $834 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 49 | $829 |
| SynthroidLevothyroxine Sodium | 13 | $638 |
| Rifampin | 38 | $636 |
| Ciprofloxacin Hcl | 39 | $588 |
| Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen | 20 | $573 |
| Ondansetron OdtOndansetron | 62 | $488 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 20 | $434 |
| Morphine Sulfate ErMorphine Sulfate | 29 | $263 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in San Juan
- Yamil Rivera ColonSan Juan$113K
- Luis Marrero PerezSan Juan$19K
- Jose Montanez-HuertasSan Juan$3K
- Christopher Alcala MarquezSan Juan$3K
- Hector Vargas SotoMayaguez$72K
- Enrique Escobar MedinaCaguas$7K
- Oscar DuyosCayey$6K
- Manuel Ramirez GonzalezArecibo$2K
- Jose Massanet-VollrathBayamon$2K
- Karl Vega LelkesCayey$1K
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.