Ralph Garza
Orthopaedic Surgery · San Antonio, TXNPI 1275732166
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $383,627 of the $390,082 with a category attached, or 98.3%. CSL Behring accounts for 76.5% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2022 at $99,208 and has fallen 67.8% since, to $31,987 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 128 payments — averaging $3047.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CSL Behring$298K
- CSL Plasma Inc.$85K
- Globus Medical$3K
- Stryker$2K
- Si-bone, Inc.$459
- Cerapedics Inc.$347
- plus $694 from 14 others
What the payments were for
- Consulting fees$383,62798%
- Travel & lodging$3,8241%
- Food & beverage$2,6311%
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 |
|---|---|---|
| CSL Behring | 27 | $298,391 |
| CSL Plasma Inc. | 16 | $85,236 |
| Globus Medical(2 entities) | 12 | $3,016 |
| Stryker | 33 | $1,940 |
| Si-bone, Inc. | 5 | $459 |
| Cerapedics Inc. | 2 | $347 |
| Radius Health, Inc. | 4 | $177 |
| Orthofix Medical, Inc. | 2 | $113 |
| Imbed Biosciences Inc. | 11 | $107 |
| Amgen | 5 | $94 |
| Aesculap Implant Systems, LLC | 2 | $40 |
| DJO, LLC | 1 | $28 |
| Bioventus LLC | 1 | $26 |
| Biohaven Pharmaceuticals, Inc. | 1 | $24 |
| Medtronic | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $17 |
| Abbott | 1 | $14 |
| Convatec Inc. | 1 | $14 |
| Covidien LP | 1 | $11 |
| Wenzel Spine, Inc. | 1 | $10 |
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.
- Excelsius Robotics System$1,698
- SERRATO$1,108
- XIA$1,108
- TRITANIUM$1,108
- Excelsius - GPS$1,021
- iFuse Implant$365
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$347
- Tymlos$125
How this compares
$390,082 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
- Michael WirthSan Antonio$4.5M
- 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
- 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.