RxDoctor Payments Data

Alberto Pena, MD

Colon & Rectal Surgery · McAllen, TXNPI 1467407601

Payments from drug & device makers

What this record shows

This record is dominated by education: $42,005 of the $58,622 with a category attached, or 71.7%. Intuitive Surgical accounts for 96.0% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2023 at $21,959 and has fallen 92.5% since, to $1,654 in 2025. Among colon & rectal surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$58,622in general payments, 2019–2025

Across 103 payments — averaging $569.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$56K
  • Medtronic$556
  • Axonics, Inc.$520
  • Boston Scientific$281
  • Baxter Healthcare$224
  • Davol Inc.$174
  • plus $568 from 8 others

What the payments were for

  • Speaking & faculty fees$8,50014%
  • Travel & lodging$3,2846%
  • Food & beverage$4,8338%
  • Education$42,00572%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$58,622 in reported general payments places this provider in the 90th percentile of 200 colon & rectal surgery providers in Texas.

See all colon & rectal surgery providers in Texas

Medicare billing

Part B allowed, 2024
$99,636
Medicare patients
187
Services billed
426

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine150$4,903
Acetaminophen-CodeineAcetaminophen With Codeine268$1,777
Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl115$1,655
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl97$1,512
Metronidazole75$838
Neomycin Sulfate58$300
Ketorolac Tromethamine18$273
Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl13$165
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen20$155
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav16$133
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim26$87
Ondansetron OdtOndansetron12$47
Ondansetron Hcl26$43
Tramadol Hcl18$43

Paid to pharmacies, not to this prescriber.

Other colon & rectal surgery in McAllen

See the full list for Texas

Where these figures come from

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