Michael Wirth
Orthopaedic Surgery · San Antonio, TXNPI 1376658260
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $4,455,681 of the $4,519,106 with a category attached, or 98.6%. Depuy Synthes Products, Inc. accounts for 99.1% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $1,022,259 and has fallen 67.3% since, to $334,078 in 2025. Among orthopaedic surgery clinicians in TX 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 105 payments — averaging $43,039 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$4.5M
- Medical Device Business Services, Inc.$31K
- Stryker$7K
- Medinc Of Texas$1K
- Johnson & Johnson$220
What the payments were for
- Royalty or licence$4,455,68199%
- Consulting fees$55,8791%
- Travel & lodging$5,6820%
- Food & beverage$8290%
- Education$1,0350%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 77 | $4,479,880 |
| Medical Device Business Services, Inc. | 19 | $30,703 |
| Stryker | 6 | $7,268 |
| Medinc Of Texas | 1 | $1,035 |
| Johnson & Johnson | 2 | $220 |
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.
- GLOBAL$4,475,333
- BIOLOX DELTA$2,671,976
- DELTA$1,835,956
- AEQUALIS$7,268
How this compares
$4,519,106 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic surgery providers in Texas.
Other orthopaedic surgery in San Antonio
- Stephen BurkhartSan Antonio$185.3M
- Ravi KariaSan Antonio$1.1M
- Charles RockwoodSan Antonio$975K
- Christopher ChaputSan Antonio$959K
- Frank ButtacavoliSan Antonio$866K
- Robert HartzlerSan Antonio$654K
- Bernard MorreySan Antonio$639K
- Animesh AgarwalSan Antonio$408K
- Ralph GarzaSan Antonio$390K
- Anil DuttaSan Antonio$276K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.