Alexander Cardenas, MD
Anesthesiology · Roanoke, VANPI 1487631453
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,523 of the $7,747 with a category attached, or 71.3%. 10 manufacturers reported payments, led by Edwards Lifesciences at 41.2% of the total. 2025 is the largest year on record at $4,553, 3.6 times the $1,265 reported in 2019. Among anesthesiology clinicians in VA 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 45 payments — averaging $172.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$3K
- Abbott$2K
- Intuitive Surgical$990
- Ancora Heart, Inc.$973
- BD$167
- Cardiac Dimensions, Inc.$166
- plus $83 from 4 others
What the payments were for
- Travel & lodging$5,52371%
- Food & beverage$2,22429%
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 |
|---|---|---|
| Edwards Lifesciences | 13 | $3,193 |
| Abbott | 15 | $2,175 |
| Intuitive Surgical | 6 | $990 |
| Ancora Heart, Inc. | 5 | $973 |
| BD | 1 | $167 |
| Cardiac Dimensions, Inc. | 1 | $166 |
| Abiomed | 1 | $26 |
| Medtronic | 1 | $24 |
| Boston Scientific | 1 | $19 |
| Mallinckrodt Enterprises LLC | 1 | $14 |
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
$7,747 in reported general payments places this provider in the 95th percentile of 1,065 anesthesiology providers in Virginia.
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 anesthesiology in Roanoke
- Tina DaileyRoanoke$5K
- Christopher RigsbyRoanoke$2K
- Joseph SmithLeesburg$111K
- Sonia SzlykFairfax$90K
- Jeffrey GreenRichmond$81K
- Tejal RajuChristiansburg$64K
- John HuffmanArlington$30K
- Bimal GandhiFalls Church$26K
- Neelam BandiFairfax$17K
- Nabil ElkassabanyCharlottesville$14K
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.