Michael Heckman, MD
Orthopaedic Surgery · San Antonio, TXNPI 1922027507
Payments from drug & device makers
Across 23 payments — averaging $450.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Anika Therapeutics, Inc.$9K
- Smith+Nephew$504
- Globus Medical$237
- Zimmer Biomet$142
- Lima USA, Inc.$126
- Medinc Of Texas$93
- plus $219 from 4 others
What the payments were for
- Consulting fees$7,50072%
- Travel & lodging$1,15211%
- Food & beverage$1,71117%
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 |
|---|---|---|
| Anika Therapeutics, Inc. | 8 | $9,045 |
| Smith+Nephew | 6 | $504 |
| Globus Medical | 2 | $237 |
| Zimmer Biomet | 1 | $142 |
| Lima USA, Inc. | 1 | $126 |
| Medinc Of Texas | 1 | $93 |
| Sanara Medtech Inc. | 1 | $89 |
| Mission Medical Distribution, LLC | 1 | $69 |
| Stryker | 1 | $43 |
| Heraeus Medical, LLC. | 1 | $18 |
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.
- TACTOSET$7,644
- RevoMotion$1,127
- X-Twist$561
- Regeneten$286
- OVOMotion$283
- Actiflip$283
- Viacell$154
- LENS Surgical Imaging System$149
- Bioinductive Implant with Arthroscopic Delivery System - Medium$143
- Integrity$134
- Tactoset Foot & Ankle Place Holder$134
- SMR Shoulder$126
How this compares
$10,364 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Celecoxib | 139 | $2,210 |
| Methylprednisolone | 23 | $163 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 25 | $149 |
| Tramadol Hcl | 40 | $135 |
| Ibuprofen | 17 | $71 |
| Gabapentin | 13 | $43 |
| Meloxicam | 11 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in San Antonio
- Stephen BurkhartSan Antonio$185.3M
- Michael WirthSan Antonio$4.5M
- Charles BroomeSan Antonio$3.8M
- Christopher ChaputSan Antonio$1.1M
- Ravi KariaSan Antonio$1.1M
- Charles RockwoodSan Antonio$975K
- Frank ButtacavoliSan Antonio$932K
- Robert HartzlerSan Antonio$702K
- Bernard MorreySan Antonio$639K
- Animesh AgarwalSan Antonio$440K
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.