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Frank Buttacavoli, MD

Orthopaedic Surgery · San Antonio, TXNPI 1487882346

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (36.6%), speaking fees and education — rather than concentrated in one kind of arrangement. 35 manufacturers reported payments, led by Zimmer Biomet at 58.8% of the total. 2025 is the largest year on record at $214,254, 5.0 times the $43,007 reported in 2019. Among orthopaedic surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$865,807in general payments, 2019–2025

Across 1,049 payments — averaging $825.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$509K
  • KCI USA, Inc.$153K
  • Sanara Medtech Inc.$87K
  • Solventum Corporation$66K
  • Medtronic$37K
  • Heraeus Medical, LLC.$6K
  • plus $9K from 29 others
$65,901in research payments, 2019–2025

Across 2 payments — averaging $32,951 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.

  • KCI USA, Inc.$66K

What the payments were for

  • Consulting fees$316,79737%
  • Speaking & faculty fees$221,73126%
  • Travel & lodging$91,36411%
  • Food & beverage$25,9003%
  • Education$210,01624%

General payments by program year

19
20
21
22
23
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
Zimmer Biomet619$509,432
KCI USA, Inc.136$152,708
Sanara Medtech Inc.89$86,616
Solventum Corporation40$65,802
Medtronic(2 entities)46$36,662
Heraeus Medical, LLC.11$5,838
Restor3d, Inc.2$2,058
Imbed Biosciences Inc.22$1,190
Stryker9$1,034
Davol Inc.18$499
Smith+Nephew6$361
Orthalign Inc2$334
Johnson & Johnson(2 entities)3$302
Bioventus LLC7$298
Bone Support Inc.2$288
Wishbone Medical Inc.2$233
Heron Therapeutics, Inc.6$228
Medela LLC8$220
Kerecis Limited1$170
Encore Medical, LP1$167
Si-bone, Inc.1$160
Globus Medical1$150
Conformis, Inc.2$133
Vericel Corporation1$122
Pacira Pharmaceuticals Incorporated2$119
Axogen1$117
Baxter Healthcare1$115
Medartis Inc.1$104
Pacira Therapeutics, Inc.1$103
Acumed LLC1$97
Vertex3$93
Acera Surgical, Inc.1$16
ERMI LLC1$15
Ferring Pharmaceuticals Inc.1$13
Integra Lifesciences Corporation1$12

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

$865,807 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic surgery providers in Texas.

See all orthopaedic surgery providers in Texas →

Medicare billing

Part B allowed, 2024
$198,739
Medicare patients
342
Services billed
5,197

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
Gabapentin30$270
Amoxicillin27$62

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in San Antonio

See the full list for Texas →

Where these figures come from

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