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.
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
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.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 56 | $56,299 |
| Medtronic(2 entities) | 23 | $556 |
| Axonics, Inc. | 10 | $520 |
| Boston Scientific | 2 | $281 |
| Baxter Healthcare | 2 | $224 |
| Davol Inc. | 2 | $174 |
| Mimedx Group, Inc. | 1 | $115 |
| BD | 1 | $98 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $85 |
| Amgen | 1 | $84 |
| Vifor Pharma, Inc. | 1 | $79 |
| MML US, Inc. | 1 | $46 |
| Conmed Corporation | 1 | $36 |
| Johnson & Johnson | 1 | $26 |
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.
- Da Vinci Surgical System$47,668
- DA VINCI SP$8,000
- Axonics$527
- INTERSTIM$137
- FLOSEAL$116
- PERI-STRIPS DRY$108
- Phasix Mesh$106
How this compares
$58,622 in reported general payments places this provider in the 90th percentile of 200 colon & rectal surgery providers in Texas.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 150 | $4,903 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 268 | $1,777 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 115 | $1,655 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 97 | $1,512 |
| Metronidazole | 75 | $838 |
| Neomycin Sulfate | 58 | $300 |
| Ketorolac Tromethamine | 18 | $273 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 13 | $165 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $155 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $133 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 26 | $87 |
| Ondansetron OdtOndansetron | 12 | $47 |
| Ondansetron Hcl | 26 | $43 |
| Tramadol Hcl | 18 | $43 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in McAllen
- Dustin LuebbersMcAllen$49K
- Thiru LakshmanAustin$756K
- Diego Marines CopadoHouston$462K
- Bidhan DasSugar Land$350K
- Christopher de JesusSan Antonio$201K
- Farshid AraghizadehFort Worth$181K
- Jefferson HurleyIrving$163K
- Erik AskenasyHouston$142K
- Eric HaasHouston$140K
- Robert JacobsonDallas$125K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.