Roberto Lugo, MD
Sports Medicine · Port St Lucie, FLNPI 1578687737
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.8%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Maxx Orthopedics, Inc. at 29.2% of the total. Reporting peaked in 2020 at $8,684 and has fallen 96.6% since, to $298 in 2025.
Across 106 payments — averaging $213.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Maxx Orthopedics, Inc.$7K
- Microport Orthopedics Inc$6K
- Smith+Nephew$5K
- Lima USA, Inc.$4K
- Stryker$587
- Orthofix Medical, Inc.$275
- plus $1K from 14 others
Across 1 payment — averaging $4040.12 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.
- Maxx Orthopedics, Inc.$4K
What the payments were for
- Consulting fees$3,60016%
- Speaking & faculty fees$5,52524%
- Travel & lodging$3,18614%
- Food & beverage$10,15145%
- Education$1771%
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 |
|---|---|---|
| Maxx Orthopedics, Inc. | 10 | $6,610 |
| Microport Orthopedics Inc | 5 | $5,823 |
| Smith+Nephew | 47 | $4,688 |
| Lima USA, Inc. | 2 | $3,600 |
| Stryker | 9 | $587 |
| Orthofix Medical, Inc. | 7 | $275 |
| Abbott | 2 | $253 |
| Medacta USA, Inc. | 2 | $199 |
| Tersera Therapeutics LLC | 3 | $177 |
| Amgen | 5 | $90 |
| Zimmer Biomet | 2 | $88 |
| DJO, LLC | 2 | $65 |
| ERMI LLC | 2 | $39 |
| Bioventus LLC | 2 | $35 |
| Vertex | 1 | $26 |
| Pfizer | 1 | $21 |
| Carbofix Orthopedics Inc | 1 | $20 |
| Johnson & Johnson | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Heraeus Medical, LLC. | 1 | $8 |
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.
- MPO Hip System$5,684
- SMR$3,600
- Hipstruments$2,811
- Q-FIX Hip$1,820
- ACCUPASS DIRECT Crescent XL$1,404
- AMBIENT HIPVAC$788
- Q-FIX$700
- MAKO$247
- PROCLAIM$228
- MPO Medial Pivot Knee$139
- Physio-Stim$114
- PRIMARY SHOULDER$104
How this compares
$22,640 in reported general payments places this provider in the 85th percentile of 402 sports medicine providers in Florida.
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 |
|---|---|---|
| Celecoxib | 97 | $1,995 |
| Oxycodone Hcl | 142 | $989 |
| Tizanidine Hcl | 94 | $687 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 56 | $686 |
| Ibuprofen | 64 | $637 |
| Methylprednisolone | 77 | $482 |
| Diclofenac Sodium | 33 | $453 |
| Tramadol Hcl | 47 | $253 |
| Meloxicam | 41 | $214 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $182 |
| Gabapentin | 32 | $175 |
| Amoxicillin | 118 | $156 |
| Clindamycin Hcl | 28 | $62 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $48 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Port St Lucie
- Lee KaplanMiami$11.3M
- Patrick SmithNaples$2.9M
- Ryan SimovitchWest Palm Beach$1.1M
- Bruce LevyOrlando$816K
- Gautam YagnikMiami$440K
- Carl DilellaVero Beach$384K
- Adam AnzGulf Breeze$354K
- Stanton LongeneckerJacksonville$330K
- Luga PodestaNaples$206K
- Julianne MunozMiami$149K
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.