Jose Fumero, MD
Orthopaedic Surgery · San Juan, PRNPI 1033175856
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,868 of the $3,112 with a category attached, or 60.0%. Smith+Nephew accounts for 74.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $2,457 and has fallen 85.0% since, to $370 in 2025.
Across 34 payments — averaging $91.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Stryker$220
- Johnson & Johnson$215
- PBG Puerto Rico LLC$169
- Johnson And Johnson International$101
- E.r. Squibb & Sons, L.L.C.$59
- plus $47 from 2 others
What the payments were for
- Travel & lodging$1,86860%
- Food & beverage$1,24440%
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 |
|---|---|---|
| Smith+Nephew | 6 | $2,301 |
| Stryker | 6 | $220 |
| Johnson & Johnson | 7 | $215 |
| PBG Puerto Rico LLC | 8 | $169 |
| Johnson And Johnson International | 1 | $101 |
| E.r. Squibb & Sons, L.L.C. | 3 | $59 |
| Ferring Pharmaceuticals Inc. | 2 | $32 |
| Pfizer Pharmaceuticals LLC | 1 | $15 |
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.
- Legion Revision$2,083
- Journey II BCS$1,868
- REDAPT Revision Hip System$296
- Anthology$296
- Legion$215
- STRATAFIX$202
- XARELTO$100
How this compares
$3,112 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| EliquisApixaban | 108 | $39,329 |
| Diclofenac Potassium | 411 | $7,317 |
| Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen | 234 | $2,822 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 176 | $1,880 |
| Cefadroxil | 179 | $1,708 |
| Methylprednisolone Acetate | 27 | $432 |
| Etodolac | 21 | $340 |
| Nabumetone | 27 | $254 |
| Levofloxacin | 20 | $244 |
| Celecoxib | 27 | $236 |
| Ciprofloxacin Hcl | 31 | $180 |
| Gabapentin | 20 | $143 |
| EndocetOxycodone Hcl/Acetaminophen | 12 | $108 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in San Juan
- David Beaton ComuladaSan Juan$29K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
- 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
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.