RALPH GEORGE MENARD JR.
Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine FREDERICKSBURG, TX NPI 1407876014
Browse related groups: Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine TX Nevro Corp. All categories
General Payments — all program years on this page
$7,204.54
- Category: General Payments
- Program years: PY2018–2024
- Record count: 257
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $1,131.12 across 26 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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,003.59 | 25 |
| Travel and Lodging | $127.53 | 1 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Nevro Corp. | $547.06 | 12 |
| Pacira Pharmaceuticals Incorporated | $290.03 | 6 |
| SPR Therapeutics, Inc | $80.00 | 1 |
| Medtronic, Inc. | $79.46 | 3 |
| ABBVIE INC. | $49.99 | 1 |
| Saluda Medical Americas, Inc. | $45.89 | 1 |
| VERTEX PHARMACEUTICALS INCORPORATED | $19.56 | 1 |
| Amgen Inc. | $19.13 | 1 |
By program year
Records — PY2024 (26)
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.