Has Ramesh Srinivasan, MD received payments from drug or device companies?

Yes. Drug and device makers reported $115,785 in general payments to Ramesh Srinivasan, MD across 180 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ramesh Srinivasan, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ramesh Srinivasan, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ramesh Srinivasan, MD

Orthopaedic Surgery · San Antonio, TXNPI 1790902104

Payments from drug & device makers

$115,785in general payments, 2019–2025

Across 180 payments — averaging $643.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Acumed LLC$83K
Exactech, Inc.$11K
Skeletal Dynamics Inc$10K
Arthrex$5K
Medinc Of Texas$2K
Turner Imaging Systems, Inc.$2K
plus $3K from 17 others

What the payments were for

Consulting fees$6,8516%
Speaking & faculty fees$61,80958%
Travel & lodging$16,29415%
Food & beverage$8,0618%
Education$13,21412%

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
Acumed LLC	71	$82,866
Exactech, Inc.	24	$10,713
Skeletal Dynamics Inc	18	$10,058
Arthrex	20	$5,229
Medinc Of Texas	5	$2,479
Turner Imaging Systems, Inc.	1	$1,925
Integra Lifesciences Corporation	8	$883
Arthrosurface Incorporated	2	$257
Johnson & Johnson	2	$193
Axogen	4	$190
Mission Medical Distribution, LLC	4	$146
Pacira Pharmaceuticals Incorporated	2	$137
Endo Pharmaceuticals Inc.	1	$122
Checkpoint Surgical, Inc	1	$120
Trice Medical, Inc.	2	$115
Takeda Pharmaceuticals U.S.A., Inc.	5	$100
Stryker	2	$78
Vertex	2	$59
Pfizer	2	$31
Anika Therapeutics, Inc.	1	$23
Alafair Biosciences, Inc.	1	$22
Assertio Therapeutics, Inc.	1	$21
Salix Pharmaceuticals, A Division Of Bausch Health US, 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.

ACUMED$59,572
Acu-Loc Wrist Plating System$48,838
Hand Fracture System$33,732
Elbow Plating System$31,387
Anatomic Radial Head System$28,062
Acutrak Headless Compression Screw System$14,264
Clavicle Plating System$13,008
EQUINOXE$10,532
Geminus$9,715
Align$9,715
IJS$9,715
Implate$9,715
Polarus 3 Solution$9,217
Midshaft Forearm Plating System$8,867
MODULAR HAND SYSTEM$8,298
Total Wrist Fusion Plating System$7,642
Osteotomy System$7,642
Forearm Rod System$2,625
Smart-C System$1,925
FREEDOM WRIST$708

How this compares

$115,785 in reported general payments places this provider in the 90th percentile of 1,337 orthopaedic surgery providers in Texas.

See all orthopaedic surgery providers in Texas →

Medicare billing

Part B allowed, 2024

$161,868

Medicare patients

356

Services billed

2,805

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
Methylprednisolone	93	$648
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	86	$423
Meloxicam	162	$326
Acetaminophen-CodeineAcetaminophen With Codeine	50	$188
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	33	$176
Tramadol Hcl	19	$45

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

See the full list for Texas →

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.

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