Joseph Lanzi, MD
Orthopaedic Surgery · El Paso, TXNPI 1174722243
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Vericel Corporation accounts for 74.1% of it on its own, with 25 other manufacturers making up the rest. 2025 is the largest year on record at $12,992, 7.5 times the $1,733 reported in 2019.
Across 157 payments — averaging $248.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vericel Corporation$29K
- Stryker$4K
- Linvatec Corporation$2K
- Rattan And Associates$1K
- Smith+Nephew$590
- Zimmer Biomet$580
- plus $1K from 20 others
What the payments were for
- Consulting fees$8252%
- Speaking & faculty fees$14,82538%
- Travel & lodging$6,76717%
- Food & beverage$15,43540%
- Education$1,2003%
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 |
|---|---|---|
| Vericel Corporation | 35 | $28,935 |
| Stryker | 65 | $4,283 |
| Linvatec Corporation | 6 | $2,325 |
| Rattan And Associates | 2 | $1,280 |
| Smith+Nephew | 11 | $590 |
| Zimmer Biomet | 6 | $580 |
| Si-bone, Inc. | 5 | $245 |
| Heraeus Medical, LLC. | 3 | $131 |
| Skeletal Dynamics Inc | 2 | $113 |
| Embody, Inc. | 1 | $102 |
| Illuminoss Medical, Inc. | 1 | $76 |
| KCI USA, Inc. | 3 | $54 |
| Osteocentric Technologies, Inc. | 1 | $48 |
| Vertex | 1 | $34 |
| DJO, LLC | 1 | $33 |
| Biocomposites Inc | 1 | $29 |
| Heron Therapeutics, Inc. | 4 | $27 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Terumo BCT, Inc. | 1 | $23 |
| Avanos Medical | 1 | $23 |
| Johnson & Johnson | 1 | $19 |
| Orthopediatrics Corp. | 1 | $18 |
| Bioventus LLC | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $16 |
| Acell, Inc. | 1 | $13 |
| Sanofi-aventis U.S. LLC | 1 | $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.
- MACI$28,683
- BioBrace 23mm$2,255
- AXSOS$429
- MAKO$278
- HOFFMANN$263
- T2$257
- T2 ALPHA$150
- AEQUALIS$150
- EVOS SMALL$148
- TRIGEN InterTAN$148
- AEQUALIS PERFORM REVERSED$143
- GAMMA$135
- REUNION$135
- Persona$129
- A3$129
- TRIATHLON$128
- OMEGA$126
- CINCHLOCK$126
- ICONIX$126
- NA$126
How this compares
$39,053 in reported general payments places this provider in the 85th percentile of 1,337 orthopaedic surgery providers in Texas.
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 |
|---|---|---|
| Naproxen | 110 | $1,154 |
| Gabapentin | 19 | $324 |
| Meloxicam | 42 | $170 |
| Methocarbamol | 19 | $157 |
| Tramadol Hcl | 15 | $57 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in El Paso
- Alvaro HernandezEl Paso$672K
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Stefan KreuzerHouston$6.2M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- James BrodskyDallas$2.5M
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.