Alejandro Rios Tovar, MD
Trauma Surgery · Harlingen, TXNPI 1477845709
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 94.9% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $7,344, 3.9 times the $1,869 reported in 2019.
Across 36 payments — averaging $264.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Avanos Medical$169
- Kls-martin L.p.$142
- AstraZeneca$124
- Acell, Inc.$36
- Teleflex LLC$12
What the payments were for
- Travel & lodging$3,72239%
- Food & beverage$7878%
- Education$5,00053%
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 | 27 | $9,026 |
| Avanos Medical | 3 | $169 |
| Kls-martin L.p. | 3 | $142 |
| AstraZeneca | 1 | $124 |
| Acell, Inc. | 1 | $36 |
| Teleflex LLC | 1 | $12 |
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.
- DAVINCI XI$5,000
- Da Vinci Surgical System$3,603
- ANDEXXA$124
- ON-Q* PUMP AND ACCESSORIES$122
How this compares
$9,509 in reported general payments places this provider in the 80th percentile of 108 trauma 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.
Other trauma surgery in Harlingen
- Alejandro CandilHarlingen$9K
- Lucia NguyenHarlingen$6K
- Christine DahlhausenHarlingen$6K
- Daniel BoltonHarlingen$3K
- Luis FernandezTyler$493K
- Billy MorganWaco$122K
- Sudeep BurmanAustin$72K
- Jennifer MoffettHouston$68K
- Michael WandlingHouston$25K
- Michael EricksonGalveston$18K
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.