Ravi Karia, MD
Orthopaedic Surgery · San Antonio, TXNPI 1356523344
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.3%), speaking fees and education — rather than concentrated in one kind of arrangement. 39 manufacturers reported payments, led by Zimmer Biomet at 40.3% of the total. 2025 is the largest year on record at $315,071, 4.7 times the $67,326 reported in 2019. Among orthopaedic surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,249 payments — averaging $869.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$437K
- Smith+Nephew$284K
- KCI USA, Inc.$150K
- Solventum Corporation$100K
- New Standard Device, LLC Dba Metalogix$47K
- Pacira Pharmaceuticals Incorporated$24K
- plus $44K from 33 others
Across 12 payments — averaging $3955.30 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.
- Smith+Nephew$47K
What the payments were for
- Royalty or licence$47,0774%
- Consulting fees$437,87640%
- Speaking & faculty fees$280,03626%
- Travel & lodging$94,0829%
- Food & beverage$37,6083%
- Education$189,07017%
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.
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.
- EVOS$336,480
- PREVENA$224,280
- TRIGEN InterTAN$171,390
- Affixus$138,075
- V.A.C. VERAFLO$128,898
- TRIGEN$88,713
- V.A.C. VERAFLO CLEANSE CHOICE$83,531
- NCB$80,732
- TRIGEN Meta-Nail$71,257
- Avitus Bone Harvester$53,566
- NCB Instruments/Plates/Screws$51,692
- EVOS MINI$47,408
- PREVENA RESTOR ARTHROFORM$37,472
- A.L.P.S.$32,140
- Alps Elbow$31,188
- DVR Anatomic Kickstand$25,680
- PREVENA RESTOR AXIOFORM$25,250
- EXPAREL$23,288
- ZNN$22,253
- PREVENA RESTOR AXIO-FORM$21,791
How this compares
$1,085,749 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic 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.
Other orthopaedic surgery in San Antonio
- Stephen BurkhartSan Antonio$185.3M
- Michael WirthSan Antonio$4.5M
- Charles RockwoodSan Antonio$975K
- Christopher ChaputSan Antonio$959K
- Frank ButtacavoliSan Antonio$866K
- Robert HartzlerSan Antonio$654K
- Bernard MorreySan Antonio$639K
- Animesh AgarwalSan Antonio$408K
- Ralph GarzaSan Antonio$390K
- Anil DuttaSan Antonio$276K
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.