Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

MICHAEL SCOTT VRANA

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1164602868
CMS profile
188684
Location
NEW BRAUNFELS, TX

General Payments · PY2019–2025

$9,231.87

  • Reported across 47 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$2,049.18

11 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,308.60 3
Food and Beverage $740.58 8

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Smith+Nephew, Inc. $1,973.68 8
Stryker Corporation $35.00 1
Pacira Pharmaceuticals Incorporated $21.95 1
Bioventus LLC $18.55 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $445.09 3
PY2021 $72.83 3
PY2022 $2,438.67 10
PY2023 $2,335.72 10
PY2024 $1,890.38 10
PY2025 $2,049.18 11

Payment records · PY2025 (11)

Sorted by paying entity, then date · as published by CMS

Program year 2025 20192021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Bioventus LLC $18.55 08/08/2025 Food and Beverage Undisputed 06/30/2026 1226868242 CMS
Pacira Pharmaceuticals Incorporated $21.95 08/22/2025 Food and Beverage Undisputed 06/30/2026 1250281230 CMS
Smith+Nephew, Inc. $412.97 04/23/2025 Travel and Lodging Undisputed 06/30/2026 1242224855 CMS
Smith+Nephew, Inc. $144.10 04/23/2025 Food and Beverage Undisputed 06/30/2026 1242224857 CMS
Smith+Nephew, Inc. $826.14 04/23/2025 Travel and Lodging Undisputed 06/30/2026 1242224861 CMS
Smith+Nephew, Inc. $69.49 04/23/2025 Travel and Lodging Undisputed 06/30/2026 1242224863 CMS
Smith+Nephew, Inc. $163.48 04/24/2025 Food and Beverage Undisputed 06/30/2026 1242224865 CMS
Smith+Nephew, Inc. $195.00 04/24/2025 Food and Beverage Undisputed 06/30/2026 1242224867 CMS
Smith+Nephew, Inc. $22.50 04/25/2025 Food and Beverage Undisputed 06/30/2026 1242224859 CMS
Smith+Nephew, Inc. $140.00 04/25/2025 Food and Beverage Undisputed 06/30/2026 1242224869 CMS
Stryker Corporation $35.00 09/04/2025 Food and Beverage Undisputed 06/30/2026 1227992035 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.