RALPH Z GARZA

Allopathic & Osteopathic Physicians|Orthopaedic Surgery SAN ANTONIO, TX NPI 1275732166

General Payments — all program years on this page

$408,072.30

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 158
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $759.96 across 3 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Consulting Fee $646.921
Food and Beverage $113.042

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
CSL Plasma Inc. $646.921
Orthofix Medical, Inc. $91.341
Stryker Corporation $21.701

By program year

Program yearAmountRecords
2018 $49,977.2038
2019 $78,636.8943
2020 $72,504.0125
2021 $53,963.5214
2022 $99,207.6714
2023 $53,023.0521
2024 $759.963

Records — PY2024 (3)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1119834487 Stryker Corporation $21.70 05/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127592748 Orthofix Medical, Inc. $91.34 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1134643185 CSL Plasma Inc. $646.92 02/23/2024 Consulting Fee Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.