Foot & Ankle Surgery in Puerto Rico
14 providers, $44,115 in total reported payments from drug and device makers. Ranked below by lifetime general payments.
Ranking high here usually means a consulting or royalty arrangement, not wrongdoing. Payments to device inventors and trial investigators are legal, disclosed, and concentrated in a small number of people — which is exactly why a list like this has a steep top and a long flat tail.
What Medicare pays foot & ankle surgery clinicians in Puerto Rico
Across 13 foot & ankle surgery clinicians in Puerto Rico who billed Original Medicare Part B in 2024, Medicare allowed $139,241 in total — an average of $10,711 each, of which $10,711 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
Ranked by reported payments
- 1Elena Iguina GonzalezCayey$18,043
- 2Gilberto Vila ArroyoSan Juan$10,602
- 3Vincent WalshGuaynabo$4,374
- 4Jose MatteiArecibo$3,622
- 5Luis Esquerdo CruzSan Juan$1,825
- 6Jose Perez-MaldonadoSan Juan$1,641
- 7Jose AponteCaguas$1,580
- 8Silfredo SilvestriniPonce$1,568
- 9Fernando Pinero CadizHumacao$313
- 10Efrain Castro IrizarrySan German$150
- 11Carlos FragaBayamon$144
- 12Kenneth Cintron VelazquezBayamon$118
- 13Francisco Lopez HernandezVega Baja$112
- 14Sonia QuinonesGuaynabo$23