Ramon Collazo Bigles, MD
Orthopaedic Surgery · San Juan, PRNPI 1275591570
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (40.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Bsn Medical Inc accounts for 75.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $2,188 and has fallen 93.6% since, to $139 in 2025.
Across 49 payments — averaging $118.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bsn Medical Inc$4K
- Smith+Nephew$663
- Amgen$396
- Stryker$167
- Radius Health, Inc.$112
- Johnson & Johnson$100
What the payments were for
- Consulting fees$2,01435%
- Speaking & faculty fees$2,37241%
- Food & beverage$1,43825%
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 |
|---|---|---|
| Bsn Medical Inc | 17 | $4,386 |
| Smith+Nephew | 10 | $663 |
| Amgen | 12 | $396 |
| Stryker | 2 | $167 |
| Radius Health, Inc. | 6 | $112 |
| Johnson & Johnson | 2 | $100 |
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.
- AQUACAST$2,329
- COACH BY ACTIMOVE$2,014
- EVENITY$249
- TRIATHLON$106
- Bone Anchors with Arthroscopic Delivery System$103
How this compares
$5,824 in reported general payments places this provider in the 70th percentile of 94 orthopaedic surgery providers in Puerto Rico.
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 |
|---|---|---|
| TymlosAbaloparatide | 51 | $136,940 |
| ForteoTeriparatide | 16 | $67,575 |
| Teriparatide | 13 | $31,651 |
| ProliaDenosumab | 11 | $18,705 |
| XareltoRivaroxaban | 28 | $15,753 |
| Diclofenac Potassium | 58 | $2,773 |
| Diclofenac Sodium | 42 | $1,604 |
| Tramadol Hcl | 185 | $844 |
| Alendronate Sodium | 76 | $836 |
| Celecoxib | 45 | $564 |
| Gabapentin | 134 | $496 |
| Colchicine | 12 | $221 |
| Triamcinolone Acetonide | 16 | $218 |
| Chlorhexidine Gluconate | 23 | $205 |
| Mupirocin | 22 | $149 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Radius Health, Inc.Tymlos | $112 | $136,94051 claims |
| AmgenProlia | $396 | $18,70511 claims |
| Johnson & JohnsonXarelto | $100 | $15,75328 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 94 orthopaedic surgery providers in Puerto Rico.
Other orthopaedic surgery in San Juan
- David Beaton ComuladaSan Juan$29K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
- Gerardo Perez RomanSan Juan$11K
- Edwin Rosado HernandezSan Juan$11K
- Luis RiosSan Juan$8K
- Ricardo FontanetSan Juan$7K
- Eric AstacioSan Juan$4K
- Ingrid Negron ValentinSan Juan$4K
- Roberto Colon-MirandaSan Juan$4K
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.