Has Ricardo Reina Sanabria, MD received payments from drug or device companies?

Yes. Drug and device makers reported $143,554 in general payments to Ricardo Reina Sanabria, MD across 240 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ricardo Reina Sanabria, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ricardo Reina Sanabria, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ricardo Reina Sanabria, MD

Adult Reconstructive Orthopaedic Surgery · San Juan, PRNPI 1992782551

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (49.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. Zimmer Biomet accounts for 95.7% of it on its own, with 5 other manufacturers making up the rest.

$143,554in general payments, 2019–2025

Across 240 payments — averaging $598.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Zimmer Biomet$137K
Encore Medical, LP$3K
Smith+Nephew$3K
Johnson And Johnson International$115
Ferring Pharmaceuticals Inc.$34
Johnson & Johnson$20

What the payments were for

Consulting fees$71,35050%
Speaking & faculty fees$2,5002%
Travel & lodging$19,69214%
Food & beverage$6,1434%
Education$43,86831%

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
Zimmer Biomet	223	$137,343
Encore Medical, LP	10	$3,400
Smith+Nephew	2	$2,642
Johnson And Johnson International	2	$115
Ferring Pharmaceuticals Inc.	2	$34
Johnson & Johnson	1	$20

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.

ROSA$71,216
Persona$32,824
Avenir$18,776
G7$18,367
Arcos$17,375
ROSA-Knee$11,996
Legion Revision$2,500
Legion Hinge$2,500
Affixus$2,048
DJO Surgical Empowr Knee System$2,037
DJO Surgical TaperFill Hip System$2,037
DJO Surgical Exprt Revision Hip$2,037
DJO Surgical Cobalt HV Bone Cement$1,003
Persona Revision$1,000
Patient Care$875
DJO SURGICAL$278
OSS Orthopedic Salvage System$182
Journey II BCS$142
CEP Hips$115

How this compares

Too few adult reconstructive orthopaedic surgery providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024

$127,455

Medicare patients

182

Services billed

412

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
EliquisApixaban	39	$12,191
Diclofenac Potassium	102	$5,529
Acetaminophen-CodeineAcetaminophen With Codeine	200	$4,937
Diclofenac Sodium ErDiclofenac Sodium	51	$2,151
Celecoxib	88	$1,929
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	109	$1,547
Omeprazole	172	$1,046
Tizanidine Hcl	144	$1,026
Meloxicam	155	$1,013
Ciprofloxacin Hcl	13	$735
Tramadol Hcl	120	$715
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen	25	$394
Prednisone	87	$339
Gabapentin	28	$290
Clonazepam	18	$128

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in San Juan

Dencel Garcia VelezSan Juan$22K
Hector Pagan-MarreroSan Juan$661
Antonio Otero LopezRio Piedras$21K
Ruben HernandezPonce$20K
Ruben Antonio Tresgallo ParesManati$19K
Alberto CriadoSan German$7K
Samuel Fernandez-PerezBayamon$4K
Guillermo Jordan DiazBayamon$4K

See the full list for Puerto Rico →

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.

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