Ramiro Nieves, MD
Orthopaedic Surgery · Miami, FLNPI 1992760037
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,890 of the $8,057 with a category attached, or 60.7%. 8 manufacturers reported payments, led by Arthrex at 57.3% of the total. Reporting peaked in 2019 at $4,858 and has fallen 96.4% since, to $176 in 2025.
Across 57 payments — averaging $141.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Southern Edge Orthopaedics, Inc.$1K
- Encore Medical, LP$861
- Depuy Synthes Products, Inc.$675
- Stryker$475
- Johnson & Johnson$105
- plus $121 from 2 others
Across 6 payments — averaging $4908.33 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.
- Regeneron$29K
What the payments were for
- Consulting fees$6758%
- Travel & lodging$1,25516%
- Food & beverage$1,23715%
- Education$4,89061%
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 | 21 | $4,620 |
| Southern Edge Orthopaedics, Inc. | 1 | $1,200 |
| Encore Medical, LP | 9 | $861 |
| Depuy Synthes Products, Inc. | 1 | $675 |
| Stryker | 19 | $475 |
| Johnson & Johnson(2 entities) | 2 | $105 |
| Medical Device Business Services, Inc. | 3 | $96 |
| Covidien LP | 1 | $25 |
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.
How this compares
$8,057 in reported general payments places this provider in the 55th percentile of 1,263 orthopaedic surgery providers in Florida.
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 |
|---|---|---|
| Enoxaparin Sodium | 28 | $2,490 |
| Methylprednisolone | 17 | $124 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $96 |
| Meloxicam | 15 | $33 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Miami
- Charles LawrieMiami$1.7M
- Rolando GarciaMiami$1M
- Charles JordanMiami$817K
- Francis HornicekMiami$790K
- Aldo RiesgoMiami$709K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
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.