Luis Barreto-Sola, MD
Orthopaedic Surgery · Caguas, PRNPI 1255365730
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.6%), education and food and beverage — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Arthrex at 27.9% of the total. Reporting peaked in 2019 at $3,724 and has fallen 96.0% since, to $149 in 2025.
Across 37 payments — averaging $178.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Acumed LLC$1K
- Encore Medical, LP$1K
- Skeletal Dynamics Inc$1K
- Smith+Nephew$413
- AbbVie$256
- plus $619 from 5 others
What the payments were for
- Travel & lodging$3,08347%
- Food & beverage$1,71126%
- Education$1,81627%
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 | 5 | $1,843 |
| Acumed LLC | 3 | $1,345 |
| Encore Medical, LP | 6 | $1,107 |
| Skeletal Dynamics Inc | 5 | $1,027 |
| Smith+Nephew | 4 | $413 |
| AbbVie | 3 | $256 |
| Johnson And Johnson International | 3 | $237 |
| RMC Orthopedic & Surgical, Inc. | 2 | $160 |
| Johnson & Johnson | 1 | $91 |
| Zimmer Biomet | 3 | $83 |
| GSK | 2 | $49 |
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.
- Geminus$895
- Align$895
- IJS$895
- Implate$895
- Ankle Plates$745
- DJO Surgical Empowr Knee System$626
- Fibula Rod System$518
- Ankle Plating System$518
- Calcaneal Plating System$518
- Bone Anchors with Arthroscopic Delivery System$292
- DJO SURGICAL$263
- AVYCAZ$238
- Healicoil$143
- MICRORAPTOR$143
- CLEAR-TRAC$143
- HEALIX$124
- GLOBAL$124
- DELTA$124
- ARTHREX$105
- Echelon Powered Circular$100
How this compares
$6,610 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Diclofenac Potassium | 46 | $1,283 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 51 | $577 |
| Doxycycline Monohydrate | 17 | $413 |
| Methylprednisolone Acetate | 15 | $264 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Caguas
- Manuel Soto-RuizCaguas$11K
- Luis Miranda TorresCaguas$11K
- Juan BertranCaguas$576
- Alberto Rivera RosadoSanturce$197K
- Andres Muniz MartinezCayey$56K
- David Beaton ComuladaSan Juan$29K
- John KaganHumacao$27K
- Juan Santiago TorresHatillo$24K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
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.