Juan Serrato, MD
Orthopaedic Surgery · Edinburg, TXNPI 1659551216
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (55.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Smith+Nephew at 35.9% of the total. Reporting peaked in 2019 at $8,092 and has fallen 54.0% since, to $3,719 in 2025.
Across 209 payments — averaging $130.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$10K
- Stryker$3K
- Medinc Of Texas$2K
- Advanced Orthopaedic Solutions, Inc.$2K
- Anika Therapeutics, Inc.$2K
- Microport Orthopedics Inc$2K
- plus $7K from 12 others
Across 17 payments — averaging $3066.10 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.
- Pfizer$46K
- GE HealthCare$2K
- Bayer$2K
- Regeneron$2K
What the payments were for
- Travel & lodging$15,23556%
- Food & beverage$9,98137%
- Education$2,1228%
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 | 57 | $9,809 |
| Stryker | 30 | $2,567 |
| Medinc Of Texas | 5 | $2,036 |
| Advanced Orthopaedic Solutions, Inc. | 3 | $1,979 |
| Anika Therapeutics, Inc. | 7 | $1,881 |
| Microport Orthopedics Inc | 14 | $1,786 |
| Zimmer Biomet | 10 | $1,617 |
| Arthrex | 11 | $1,593 |
| Arthrosurface Incorporated | 10 | $1,237 |
| Johnson & Johnson | 35 | $823 |
| Medical Device Business Services, Inc. | 11 | $759 |
| Linvatec Corporation | 4 | $665 |
| Radius Health, Inc. | 6 | $161 |
| Amgen | 1 | $125 |
| Pharmacosmos Therapeutics Inc. | 2 | $116 |
| Motive Health, Inc. | 1 | $90 |
| Catalyst Orthoscience | 1 | $83 |
| Epimed International, Inc | 1 | $11 |
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.
- MICRORAPTOR$3,360
- Q-FIX$3,360
- Bioinductive Implant with Arthroscopic Delivery System - Medium$2,958
- Mini-Open Latarjet$2,414
- Bone Anchors with Arthroscopic Delivery System$2,163
- AOS PRODUCTS$1,911
- AETOS Shoulder System$1,878
- MPO Medial Pivot Knee$1,470
- Healicoil$1,395
- Accu-pass$1,127
- FAST-FIX FLEX$1,062
- BIOSURE REGENESORB$1,062
- HemiCAP MTP Resurfacing$987
- OVOMotion$936
- NOVOSTITCH PRO$862
- ACUFEX Knee$862
- Meniscal Root Repair System$862
- Oxford$826
- RevoMotion$689
- BioBrace 23mm$540
How this compares
$27,338 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Diclofenac Sodium | 222 | $2,645 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 110 | $882 |
| Methylprednisolone | 64 | $501 |
| Cyclobenzaprine Hcl | 62 | $240 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 28 | $227 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $174 |
| Tramadol Hcl | 50 | $172 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Edinburg
- 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
- Robert SchmidtFort Worth$2M
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.