Rajesh Arakal, MD
Orthopedic Surgery · Plano, TXNPI 1124197827
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $68,059 of the $79,409 with a category attached, or 85.7%. Medical Device Business Services, Inc. accounts for 97.2% of it on its own, with 9 other manufacturers making up the rest. Among orthopedic 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 84 payments — averaging $945.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$77K
- Johnson & Johnson$918
- Globus Medical$916
- Carlsmed, Inc.$163
- Smith+Nephew$117
- Boston Scientific$31
- plus $59 from 4 others
Across 21 payments — averaging $4044.51 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Si-bone, Inc.$85K
What the payments were for
- Consulting fees$68,05986%
- Travel & lodging$8,36011%
- Food & beverage$2,9914%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 53 | $77,206 |
| Johnson & Johnson | 18 | $918 |
| Globus Medical | 6 | $916 |
| Carlsmed, Inc. | 1 | $163 |
| Smith+Nephew | 1 | $117 |
| Boston Scientific | 1 | $31 |
| Abbott | 1 | $21 |
| Edwards Lifesciences | 1 | $15 |
| Medline Industries LP | 1 | $14 |
| Lifenet Health | 1 | $9 |
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.
- EXPEDIUM$69,192
- CONDUIT$50,278
- VIPER$50,244
- SYMPHONY$2,277
- FORTIFY$500
- ACP$181
- aprevo$163
- ARCH$145
- Senza$140
- PICO Single Use Negative Pressure Wound Therapy$117
- FIBERGRAFT BG Morsels$108
- Spine & Trauma 3D Navigation$105
- ACIS$105
How this compares
$79,409 in reported general payments places this provider in the 95th percentile of 33 orthopedic 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 |
|---|---|---|
| Methocarbamol | 75 | $855 |
| Oxycodone Hcl | 80 | $631 |
| Gabapentin | 75 | $543 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $403 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 37 | $313 |
| Methylprednisolone | 43 | $237 |
| Tramadol Hcl | 31 | $171 |
| Meloxicam | 17 | $44 |
Paid to pharmacies, not to this prescriber.
Other orthopedic surgery in Plano
- Michael MarkowitzPlano$13K
- Randal TroopPlano$1K
- Steven BrotzmanAustin$336K
- Mark ScioliLubbock$70K
- John SimsAmarillo$35K
- Katherine LiHouston$19K
- Jason RamseyLubbock$13K
- Mark GreenbergIrving$9K
- Bradley HarmanCleburne$7K
- David TemplinNew Braunfels$6K
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.