Alejandro Betancourt, MD
Neuromusculoskeletal Medicine & OMM · Harlingen, TXNPI 1528129228
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,388 of the $4,347 with a category attached, or 77.9%. 15 manufacturers reported payments, led by Medtronic at 34.9% of the total.
Across 247 payments — averaging $17.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Abbott$1K
- Boston Scientific$429
- MML US, Inc.$347
- Stryker$310
- Si-bone, Inc.$223
- plus $465 from 9 others
What the payments were for
- Travel & lodging$91421%
- Food & beverage$3,38878%
- Gifts$441%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic(2 entities) | 173 | $1,517 |
| Abbott | 15 | $1,055 |
| Boston Scientific | 38 | $429 |
| MML US, Inc. | 3 | $347 |
| Stryker | 2 | $310 |
| Si-bone, Inc. | 5 | $223 |
| Acumed LLC | 3 | $117 |
| Acera Surgical, Inc. | 1 | $73 |
| Integra Lifesciences Corporation | 1 | $64 |
| Saluda Medical Americas, Inc. | 1 | $53 |
| Spinal Simplicity, LLC | 1 | $48 |
| Integrity Implants Inc. | 1 | $44 |
| Nevro Corp. | 1 | $31 |
| Davol Inc. | 1 | $18 |
| Cerapedics Inc. | 1 | $17 |
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.
- Proclaim Family of SCS IPGs$429
- ReActiv8$347
- mild Device Kit$281
- PROCLAIM$277
- O-ARM$224
- iFuse Implant$117
How this compares
Too few neuromusculoskeletal medicine & omm providers in Texasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 114 | $1,160 |
| Tizanidine Hcl | 26 | $917 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $568 |
| Gabapentin | 39 | $463 |
| Cephalexin | 76 | $243 |
| Levetiracetam | 14 | $196 |
| Ibuprofen | 14 | $161 |
| Tramadol Hcl | 41 | $151 |
| Meloxicam | 59 | $140 |
Paid to pharmacies, not to this prescriber.
Other neuromusculoskeletal medicine & omm in Harlingen
- George SchwartzeWaco$10K
- Mark DirnbergerMansfield$8K
- Brett PicciottiGranbury$3K
- Kyle AllanAustin$622
- Marissa ZajacFort Worth$470
- Gregory DottDallas$300
- Gregory CoxFort Worth$93
- Richard DombroskiFort Worth$86
- Cheryl HowardHouston$82
- Aaron BooneFort Worth$75
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.