Alejandro Rabinstein, MD
Neurology · Rochester, MNNPI 1396715827
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $291,245 of the $305,277 with a category attached, or 95.4%. Boston Scientific accounts for 66.8% of it on its own, with 9 other manufacturers making up the rest. Among neurology clinicians in MN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 336 payments — averaging $908.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$204K
- Boehringer Ingelheim International GmbH$55K
- Chiesi USA, Inc.$13K
- AstraZeneca$12K
- Shionogi Inc$7K
- Novo Nordisk AS$5K
- plus $9K from 4 others
Across 13 payments — averaging $3093.68 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genentech, Inc.$20K
- Boehringer Ingelheim International GmbH$20K
What the payments were for
- Consulting fees$291,24595%
- Speaking & faculty fees$10,6003%
- Travel & lodging$2,3631%
- Food & beverage$9990%
- Education$700%
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 |
|---|---|---|
| Boston Scientific | 251 | $203,796 |
| Boehringer Ingelheim International GmbH | 33 | $55,480 |
| Chiesi USA, Inc. | 22 | $13,038 |
| AstraZeneca(2 entities) | 16 | $11,928 |
| Shionogi Inc | 4 | $7,325 |
| Novo Nordisk AS | 2 | $5,100 |
| Portola Pharmaceuticals, LLC | 4 | $4,100 |
| Modernatx, Inc. | 1 | $2,250 |
| Biogen | 2 | $1,761 |
| Voxneuro USA Inc. | 1 | $500 |
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.
- CLINICAL TRIAL PRODUCT$111,796
- JARDIANCE$55,480
- Watchman$21,350
- WATCHMAN Access System$17,900
- CLEVIPREX$7,809
- ANDEXXA$7,187
- BRILINTA$5,370
How this compares
$305,277 in reported general payments places this provider in the 95th percentile of 434 neurology providers in Minnesota.
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 |
|---|---|---|
| Hydroxychloroquine Sulfate | 24 | $1,049 |
| MethotrexateMethotrexate Sodium | 26 | $877 |
| Atorvastatin Calcium | 26 | $238 |
| Alendronate Sodium | 12 | $169 |
| Amlodipine Besylate | 27 | $122 |
Paid to pharmacies, not to this prescriber.
Other neurology in Rochester
- Sean PittockRochester$231K
- Wolfgang SingerRochester$128K
- Ronald PetersenRochester$126K
- Partha GhoshRochester$121K
- Eoin FlanaganRochester$55K
- Keith CoffmanRochester$24K
- Igal MirmanRochester$18K
- P James DyckRochester$17K
- Suresh KotagalRochester$16K
- Chia-Chun ChiangRochester$16K
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.