Has Manuel Soto-Ruiz, MD received payments from drug or device companies?

Yes. Drug and device makers reported $10,818 in general payments to Manuel Soto-Ruiz, MD across 63 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Manuel Soto-Ruiz, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Manuel Soto-Ruiz, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Manuel Soto-Ruiz, MD

Orthopaedic Surgery · Caguas, PRNPI 1710957717

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (47.0%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Encore Medical, LP at 34.8% of the total. Reporting peaked in 2019 at $5,053 and has fallen 90.7% since, to $469 in 2024.

$10,818in general payments, 2019–2025

Across 63 payments — averaging $171.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Encore Medical, LP$4K
Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C.$3K
Arthrex$2K
Exactech, Inc.$1K
Zimmer Biomet$1K
PBG Puerto Rico LLC$172
plus $150 from 3 others

What the payments were for

Consulting fees$2,90027%
Travel & lodging$5,08647%
Food & beverage$1,90218%
Education$9309%

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
Encore Medical, LP	14	$3,763
Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C.	1	$2,900
Arthrex	15	$1,529
Exactech, Inc.	5	$1,232
Zimmer Biomet	13	$1,071
PBG Puerto Rico LLC	7	$172
Johnson And Johnson International	5	$91
Johnson & Johnson	2	$45
E.r. Squibb & Sons, L.L.C.	1	$14

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.

ATTUNE$2,900
DJO Surgical Empowr Knee System$2,172
DJO Surgical Exprt Revision Hip$1,346
DJO Surgical TaperFill Hip System$1,346
DJO Surgical Cobalt HV Bone Cement$1,173
EQUINOXE$611
OPTETRAK$610
Arcos$485
Comprehensive Shoulder System$134
DJO SURGICAL$118

How this compares

$10,818 in reported general payments places this provider in the 80th percentile of 94 orthopaedic surgery providers in Puerto Rico.

See all orthopaedic surgery providers in Puerto Rico →

Medicare billing

Part B allowed, 2024

$24,230

Medicare patients

Services billed

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
EliquisApixaban	93	$29,956
Pregabalin	275	$6,996
Diclofenac Potassium	132	$6,872
Ketorolac Tromethamine	77	$2,520
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	256	$2,477
Celecoxib	95	$2,287
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen	88	$1,033
Meloxicam	174	$946
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	195	$845
Acetaminophen-CodeineAcetaminophen With Codeine	41	$733
Doxycycline Hyclate	35	$536
Tizanidine Hcl	85	$489
Tramadol Hcl	76	$405
Methylprednisolone Acetate	16	$283
Levofloxacin	12	$244

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Caguas

Luis Miranda TorresCaguas$11K
Luis Barreto-SolaCaguas$7K
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

See the full list for Puerto Rico →

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.

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