Francisco Lopez-Gonzalez, MD
Orthopaedic Surgery · San Juan, PRNPI 1487622916
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (34.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Acumed LLC at 49.5% of the total. Among orthopaedic surgery clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 72 payments — averaging $225.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$8K
- RMC Orthopedic & Surgical, Inc.$4K
- Arthrex$3K
- Stryker$426
- Smith+Nephew$411
- Johnson And Johnson International$158
- plus $261 from 3 others
What the payments were for
- Consulting fees$2,31314%
- Speaking & faculty fees$5,64935%
- Travel & lodging$4,06025%
- Food & beverage$2,40815%
- Education$1,80011%
- Entertainment$290%
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 |
|---|---|---|
| Acumed LLC | 10 | $8,041 |
| RMC Orthopedic & Surgical, Inc. | 14 | $3,907 |
| Arthrex | 27 | $3,056 |
| Stryker | 11 | $426 |
| Smith+Nephew | 4 | $411 |
| Johnson And Johnson International | 2 | $158 |
| Zimmer Biomet | 2 | $91 |
| Medtronic | 1 | $89 |
| Johnson & Johnson | 1 | $80 |
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.
- Anatomic Radial Head System$6,124
- Elbow Plating System$5,649
- ACUMED$3,447
- Radial Head Plating System$2,775
- ARTHREX$1,786
- EVOS$250
- EVOS MINI$125
- HEALIX$124
- GLOBAL$124
- DELTA$124
- Taylor Spatial Frame$121
- Jet-X$121
- HOFFMANN$104
- EX-FIX$103
- Acticoat Range$100
- PICO 7 Single Use Negative Pressure Wound Therapy$100
How this compares
$16,259 in reported general payments places this provider in the 90th percentile of 94 orthopaedic 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 | 61 | $1,431 |
| Ketorolac Tromethamine | 49 | $1,113 |
| Diclofenac Potassium | 23 | $804 |
| Cefadroxil | 47 | $446 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $378 |
| Triamcinolone Acetonide | 24 | $217 |
| Clindamycin Hcl | 21 | $214 |
| Cephalexin | 45 | $195 |
| Zolpidem Tartrate | 39 | $145 |
| Tramadol Hcl | 14 | $77 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in San Juan
- David Beaton ComuladaSan Juan$29K
- Ariel Davila-ParrillaSan Juan$21K
- Gerardo Perez RomanSan Juan$11K
- Edwin Rosado HernandezSan Juan$11K
- Luis RiosSan Juan$8K
- Ricardo FontanetSan Juan$7K
- Ramon Collazo BiglesSan Juan$6K
- Eric AstacioSan Juan$4K
- Ingrid Negron ValentinSan Juan$4K
- Roberto Colon-MirandaSan Juan$4K
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.