Luis Marrero Perez
Orthopaedic Surgery of the Spine · San Juan, PRNPI 1376747386
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 90.6% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $13,518, more than ten times the $396 reported in 2019.
Across 76 payments — averaging $252.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$17K
- Globus Medical$513
- Stryker$344
- Spineology Inc.$270
- Johnson And Johnson International$259
- Integrity Implants Inc.$121
- plus $301 from 4 others
What the payments were for
- Speaking & faculty fees$9,51550%
- Travel & lodging$6,21232%
- Food & beverage$3,45918%
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 |
|---|---|---|
| Medtronic(2 entities) | 57 | $17,378 |
| Globus Medical(2 entities) | 6 | $513 |
| Stryker | 3 | $344 |
| Spineology Inc. | 1 | $270 |
| Johnson And Johnson International | 3 | $259 |
| Integrity Implants Inc. | 1 | $121 |
| Smith+Nephew | 2 | $100 |
| Johnson & Johnson | 1 | $92 |
| Orthofix Medical, Inc. | 1 | $88 |
| AbbVie | 1 | $21 |
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.
- STEALTHSTATION S8 PLATFORM$3,269
- O-ARM$1,246
- CD HORIZON SPINAL SYSTEM$1,200
- OptiMesh Interbody Fusion System$270
- PIVOX Oblique Lateral Spinal System$251
- NIAGARA LATERAL ACCESS SYSTEM$159
- DERMABOND PRINEO$131
- Sonicision$125
- Pulse$123
- GRAFTON$122
- Excelsius - GPS$122
- Hedron$107
- COALITION AGX$107
- ETHICON$101
How this compares
Too few orthopaedic surgery of the spine providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Tramadol Hcl | 114 | $673 |
| Cephalexin | 106 | $643 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $243 |
| Gabapentin | 16 | $120 |
| Ciprofloxacin Hcl | 17 | $115 |
| Atorvastatin Calcium | 17 | $67 |
| Rosuvastatin Calcium | 23 | $55 |
| Alprazolam | 12 | $27 |
| Lorazepam | 13 | $22 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in San Juan
- Fernando VillamilSan Juan$540K
- Yamil Rivera ColonSan Juan$113K
- Jose Montanez-HuertasSan Juan$3K
- Christopher Alcala MarquezSan Juan$3K
- Hector Vargas SotoMayaguez$72K
- Enrique Escobar MedinaCaguas$7K
- Oscar DuyosCayey$6K
- Manuel Ramirez GonzalezArecibo$2K
- Jose Massanet-VollrathBayamon$2K
- Karl Vega LelkesCayey$1K
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.