RxDoctor Payments Data

Raul Marquez, MD

Adult Reconstructive Orthopaedic Surgery · Edinburg, TXNPI 1164434320

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (50.0%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Smith+Nephew at 55.7% of the total. Reporting peaked in 2019 at $145,280 and has fallen 99.9% since, to $94 in 2025. Among adult reconstructive orthopaedic surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$278,244in general payments, 2019–2025

Across 143 payments — averaging $1945.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$155K
  • Exactech, Inc.$84K
  • Zimmer Biomet$12K
  • Aesculap Implant Systems, LLC$11K
  • Think Surgical, Inc.$10K
  • Medinc Of Texas$2K
  • plus $4K from 10 others
$61,911in research payments, 2019–2025

Across 3 payments — averaging $20,637 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.

  • Novartis$44K
  • GRT US Holding, Inc.$10K
  • Exactech, Inc.$8K

What the payments were for

  • Royalty or licence$139,21750%
  • Consulting fees$98,09735%
  • Travel & lodging$19,6797%
  • Food & beverage$4,5352%
  • Education$1,2000%
  • Entertainment$1410%
  • Other$15,3766%

General payments by program year

19
20
21
22
23
24
25

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.

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

$278,244 in reported general payments places this provider in the 90th percentile of 86 adult reconstructive orthopaedic surgery providers in Texas.

See all adult reconstructive orthopaedic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$104,770
Medicare patients
137
Services billed
2,533

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

DrugClaimsCost to plans & patients
Ibuprofen115$521
Meloxicam187$505
Diclofenac Sodium ErDiclofenac Sodium12$445
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen48$416
Acetaminophen-CodeineAcetaminophen With Codeine34$382
Diclofenac Sodium13$212
Tramadol Hcl34$177
Methylprednisolone11$114
Gabapentin13$90

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Edinburg

See the full list for Texas

Where these figures come from

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