Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RAFAEL FERNANDEZ SOLTERO

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1336105428
CMS profile
15120
Location
COTO LAUREL, PR

General Payments · PY2018–2024

$9,272.38

  • Reported across 51 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,889.42

12 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,366.26 4
Food and Beverage $523.16 8

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Smith & Nephew, Inc. $1,778.28 10
Globus Medical, Inc. $90.81 1
Stryker Corporation $20.33 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,330.10 16
PY2019 $101.67 3
PY2020 $27.54 1
PY2022 $4,923.65 19
PY2024 $1,889.42 12

Payment records · PY2024 (12)

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

Program year 2024 2018201920202022 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Globus Medical, Inc. $90.81 10/12/2024 Food and Beverage Undisputed 01/23/2026 1145030381 CMS
Smith+Nephew, Inc. $691.44 06/16/2024 Travel and Lodging Undisputed 01/23/2026 1149543431 CMS
Smith+Nephew, Inc. $37.03 06/17/2024 Travel and Lodging Undisputed 01/23/2026 1149543423 CMS
Smith+Nephew, Inc. $605.52 06/17/2024 Travel and Lodging Undisputed 01/23/2026 1149543429 CMS
Smith+Nephew, Inc. $29.71 06/20/2024 Food and Beverage Undisputed 01/23/2026 1149543419 CMS
Smith+Nephew, Inc. $258.31 06/20/2024 Food and Beverage Undisputed 01/23/2026 1149543427 CMS
Smith+Nephew, Inc. $32.27 07/02/2024 Travel and Lodging Undisputed 01/23/2026 1149543421 CMS
Smith+Nephew, Inc. $10.44 07/16/2024 Food and Beverage Undisputed 01/23/2026 1149543413 CMS
Smith+Nephew, Inc. $18.38 07/17/2024 Food and Beverage Undisputed 01/23/2026 1149543415 CMS
Smith+Nephew, Inc. $75.68 07/17/2024 Food and Beverage Undisputed 01/23/2026 1149543425 CMS
Smith+Nephew, Inc. $19.50 07/24/2024 Food and Beverage Undisputed 01/23/2026 1149543417 CMS
Stryker Corporation $20.33 01/10/2024 Food and Beverage Undisputed 01/23/2026 1119827181 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2022, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2022 , PY2024
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.

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