Lionel Lazaro, MD
Sports Medicine · San Juan, PRNPI 1679731657
Payments from drug & device makers
What this record shows
This record is dominated by education: $28,284 of the $37,663 with a category attached, or 75.1%. Arthrex accounts for 62.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $31,275 and has fallen 99.8% since, to $68 in 2024. Among sports medicine clinicians in PR 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.
Across 112 payments — averaging $336.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$24K
- Smith+Nephew$4K
- Stryker$4K
- Southern Edge Orthopaedics, Inc.$3K
- DJO, LLC$2K
- RMC Orthopedic & Surgical, Inc.$1K
- plus $187 from 5 others
What the payments were for
- Grants$1,8755%
- Travel & lodging$3,5129%
- Food & beverage$3,99211%
- Education$28,28475%
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 |
|---|---|---|
| Arthrex | 39 | $23,597 |
| Smith+Nephew | 15 | $4,330 |
| Stryker | 40 | $3,653 |
| Southern Edge Orthopaedics, Inc. | 2 | $2,813 |
| DJO, LLC | 3 | $1,875 |
| RMC Orthopedic & Surgical, Inc. | 6 | $1,208 |
| Vericel Corporation | 3 | $88 |
| Radius Health, Inc. | 1 | $32 |
| Johnson & Johnson | 1 | $27 |
| Pacira Therapeutics, Inc. | 1 | $23 |
| Amgen | 1 | $16 |
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.
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$1,932
- Q-FIX$1,381
- ARHTREX$800
- Dyonics Mini Shaver System$678
- LENS Surgical Imaging System$678
- Bioraptor Knotless$560
- ACCUPASS DIRECT Crescent XL$560
- Suturefix$560
- CINCHLOCK SS$504
- ARTHREX$313
- Regeneten$143
- MICRORAPTOR Knotless Anchor$143
How this compares
$37,663 in reported general payments places this provider in the 95th percentile of 27 sports medicine 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 |
|---|---|---|
| Cephalexin | 82 | $633 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 50 | $458 |
| Meloxicam | 73 | $278 |
| Ondansetron Hcl | 54 | $269 |
| Naproxen | 54 | $248 |
| Clindamycin Hcl | 11 | $204 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in San Juan
- Omar Rodriguez AlejandroSan Juan$25K
- Jose Echenique AranaSan Juan$11K
- Selma Martinez RojasSan Juan$618
- Carlos Benitez ColonSan Juan$584
- William MicheoSan Juan$125
- Belmarie Rodriguez SantiagoSan Juan$60
- Mark TrautmannSan Juan$36
- Pedro Tort SaadeGuaynabo$41K
- Magdiel Mayol UrdazCarolina$28K
- Artemio Torres MartinezManati$20K
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.