Ryan Rose, MD
Hand Surgery · San Antonio, TXNPI 1992096820
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $57,061 of the $89,198 with a category attached, or 64.0%. Medartis Inc. accounts for 93.6% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $35,546, 4.5 times the $7,944 reported in 2019. Among hand 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.
Across 78 payments — averaging $1143.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$84K
- Kerecis Limited$2K
- Axogen$1K
- Medinc Of Texas$642
- Acumed LLC$392
- Stryker$286
- plus $1K from 11 others
What the payments were for
- Consulting fees$57,06164%
- Speaking & faculty fees$15,15017%
- Travel & lodging$9,42311%
- Food & beverage$4,6835%
- Education$2,8813%
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 |
|---|---|---|
| Medartis Inc. | 38 | $83,527 |
| Kerecis Limited | 1 | $1,600 |
| Axogen | 5 | $1,356 |
| Medinc Of Texas | 1 | $642 |
| Acumed LLC | 3 | $392 |
| Stryker | 7 | $286 |
| Trimed, Inc. | 3 | $280 |
| Zimmer Biomet | 2 | $244 |
| Anika Therapeutics, Inc. | 1 | $160 |
| Johnson & Johnson(2 entities) | 3 | $159 |
| Shoulder Innovations, Inc. | 1 | $110 |
| Flower Orthopedics Coporation | 1 | $108 |
| Smith+Nephew | 2 | $108 |
| Integra Lifesciences Corporation | 2 | $86 |
| Bioventus LLC | 5 | $82 |
| Encore Medical, LP | 2 | $47 |
| Orthofix Medical, Inc. | 1 | $11 |
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.
- APTUS$83,060
- Kerecis SurgiClose$6,400
- Kerecis GraftGuide$1,600
- AxoGuard Nerve Connector$1,105
- AxoGuard Nerve Protector$1,105
- ACUMED$436
- WristMotion$160
- ATLAS$160
- HemiCAP Wrist$160
- Acu-Loc/Acu-Loc 2 Wrist Plating System$150
- Wrist Fusion Plates$150
- Ulna Shortening Plate$150
- A.L.P.S.$144
- ETHICON$127
- STRATAFIX$127
- DERMABOND PRINEO$127
- InSet System$110
- MAKO$103
How this compares
$89,198 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 38 | $138 |
| Methylprednisolone | 16 | $107 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in San Antonio
- Brian SagerSan Antonio$38K
- Jason CoffmanSan Antonio$15K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
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.