Randolph Lopez, MD
Hand Surgery · Houston, TXNPI 1780789719
Payments from drug & device makers
Across 62 payments — averaging $85.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$2K
- Ensemble Orthopedics, Inc$800
- Biopro, Inc.$558
- Acelrx Pharmaceuticals, Inc.$289
- Stryker$217
- Extremity Medical$188
- plus $989 from 17 others
What the payments were for
- Travel & lodging$1,97037%
- Food & beverage$3,30363%
- Education$50%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sonex Health, Inc. | 8 | $2,237 |
| Ensemble Orthopedics, Inc | 2 | $800 |
| Biopro, Inc. | 2 | $558 |
| Acelrx Pharmaceuticals, Inc. | 7 | $289 |
| Stryker | 4 | $217 |
| Extremity Medical | 1 | $188 |
| AbbVie | 7 | $144 |
| Arthrosurface Incorporated | 1 | $138 |
| Axogen | 5 | $127 |
| Checkpoint Surgical, Inc | 2 | $126 |
| Endo Pharmaceuticals Inc. | 7 | $116 |
| Zimmer Biomet | 4 | $87 |
| Trice Medical, Inc. | 1 | $50 |
| Medinc Of Texas | 1 | $46 |
| Medtronic | 1 | $26 |
| Heron Therapeutics, Inc. | 2 | $24 |
| Amgen | 1 | $21 |
| Bioventus LLC | 1 | $17 |
| Vertical Pharmaceuticals, LLC | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Innocoll Pharmaceuticals Limited | 1 | $15 |
| Strongbridge US Inc. | 1 | $15 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $6 |
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.
- Sx-One Microknife$1,990
- Ensemble CMC$800
- MOD THUMB$391
- DSUVIA$234
- WristMotion Wrist Hemiarthroplasty System$138
How this compares
$5,278 in reported general payments places this provider in the 55th percentile of 170 hand 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 |
|---|---|---|
| Methylprednisolone | 32 | $199 |
| Tramadol Hcl | 40 | $94 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Houston
- Kourosh JafarniaHouston$278K
- Scott MitchellHouston$97K
- Adil AhmedHouston$30K
- Andrea TianHouston$26K
- Kyle WoernerHouston$18K
- Adam SharHouston$16K
- Darshan PatelHouston$12K
- Ashton MansourHouston$11K
- Mark KhorsandiHouston$10K
- James BennettHouston$10K
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.