Rafael Buerba Siller
Sports Medicine · Phoenix, AZNPI 1245658707
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (35.6%), grants and food and beverage — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Arthrex at 33.2% of the total. Reporting peaked in 2019 at $20,021 and has fallen 89.4% since, to $2,121 in 2025. Among sports medicine clinicians in AZ with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 211 payments — averaging $297.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$21K
- Impactortho, Inc.$17K
- Smith+Nephew$9K
- Stryker$6K
- Goode Surgical Inc$2K
- Shoulder Innovations, Inc.$2K
- plus $7K from 17 others
What the payments were for
- Consulting fees$5861%
- Grants$20,00032%
- Travel & lodging$7,92013%
- Food & beverage$11,92619%
- Education$22,32336%
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 | 19 | $20,852 |
| Impactortho, Inc. | 42 | $16,967 |
| Smith+Nephew | 31 | $8,693 |
| Stryker | 47 | $5,707 |
| Goode Surgical Inc | 1 | $2,152 |
| Shoulder Innovations, Inc. | 8 | $1,589 |
| Catalyst Orthoscience | 10 | $1,490 |
| Johnson & Johnson | 17 | $1,130 |
| Arcuro Medical Inc | 1 | $913 |
| Medical Device Business Services, Inc. | 6 | $860 |
| Miach Orthopaedics, Inc. | 2 | $697 |
| Vericel Corporation | 9 | $509 |
| Hydrocision, Inc. | 2 | $203 |
| DJO, LLC | 3 | $165 |
| Nalu Medical, Inc. | 3 | $162 |
| Exactech, Inc. | 1 | $160 |
| Arteriocyte Medical Systems, Inc. | 1 | $153 |
| Zimmer Biomet | 1 | $123 |
| Novo Nordisk | 1 | $117 |
| Bioventus LLC | 2 | $51 |
| Anika Therapeutics, Inc. | 2 | $28 |
| Acell, Inc. | 1 | $21 |
| Advanced Oxygen Therapy Inc. | 1 | $13 |
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.
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$3,416
- Accu-pass$1,375
- InSet System$1,354
- Catalyst CSR Shoulder System$1,054
- SUPERBALL$913
- AEQUALIS PERFORM REVERSED$675
- Navigation Software KNEE3 3.2 Installer$493
- ICONIX$484
- MACI$395
- AEQUALIS PERFORM$372
- TRUESPAN ORTHOCORD$297
- Acufex$235
- Endobutton$235
- FAST-FIX$235
- ACUFEX Meniscal Root Repair$235
- INSPACE$225
- TenJet$167
- R1 Reverse Shoulder System$163
- VARIAX$161
- EQUINOXE$160
How this compares
$62,756 in reported general payments places this provider in the 90th percentile of 152 sports medicine providers in Arizona.
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 |
|---|---|---|
| Oxycodone Hcl | 21 | $102 |
| Meloxicam | 47 | $75 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Phoenix
- Anup ShahPhoenix$1.3M
- Kade McQuiveyPhoenix$61K
- Tony NguyenPhoenix$38K
- Elizabeth BattertonPhoenix$38K
- Trevor StaubPhoenix$25K
- Keith JarboPhoenix$16K
- Laura Vogel AbernathiePhoenix$12K
- Elliot MendelsohnPhoenix$9K
- Matthew SteelePhoenix$9K
- Alexander HofferPhoenix$7K
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.