Stephen Burkhart
Orthopaedic Surgery · San Antonio, TXNPI 1366487498
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $185,241,828 of the $185,316,401 with a category attached, or 100.0%. Every reported general payment came from a single manufacturer, Arthrex. Reporting peaked in 2020 at $44,728,729 and has fallen 61.3% since, to $17,332,176 in 2024. 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 95 payments — averaging $1,950,699 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$185.3M
What the payments were for
- Royalty or licence$185,241,828100%
- Consulting fees$4,0000%
- Speaking & faculty fees$67,0780%
- Travel & lodging$1,5870%
- Food & beverage$1,9080%
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 |
|---|---|---|
| Arthrex | 95 | $185,316,401 |
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.
- ARTHREX$554,312,815
- Shoulder - Implants - Rotator Cuff - SwiveLocks$89,457,457
- Shoulder - Implants - Rotator Cuff - SPEEDBRIDGE$44,728,729
- Knee & Hip - Implants - Knee Anchors - ACL Backup$44,728,729
- Shoulder - Implants - Biceps - Swivelock Tenodesis$44,728,729
- SHOULDER IMPLANTS SWIVELOCKS COMPOSITE ANCHORS$27,091,183
- SHOULDER IMPLANTS SPEEDBRIDGE COMPOSITE ANCHORS$27,091,183
- SHOULDER IMPLANTS SWIVELOCKS PEEK ANCHORS$27,091,183
- SHOULDER IMPLANTS PUSHLOCKS COMPOSITE ANCHORS$27,091,183
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ACHILLES$20,578,859
- SHOULDER IMPLANTS CORKSCREWS COMPOSITE ANCHORS$6,512,324
How this compares
$185,316,401 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic surgery providers in Texas.
Other orthopaedic surgery in San Antonio
- Michael WirthSan Antonio$4.5M
- Ravi KariaSan Antonio$1.1M
- 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).
- Identity: NPPES NPI Registry, July 2026.