Alexander Parikh, MD
Surgical Oncology · San Antonio, TXNPI 1174610208
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,610 of the $5,257 with a category attached, or 87.7%. Intuitive Surgical accounts for 90.5% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2023 at $4,802 and has fallen 98.8% since, to $56 in 2025.
Across 22 payments — averaging $238.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- AbbVie$186
- Johnson & Johnson$186
- Medtronic$37
- Lexicon Pharmaceuticals, Inc.$28
- Lilly USA, LLC$23
- plus $37 from 2 others
What the payments were for
- Travel & lodging$691%
- Food & beverage$57711%
- Education$4,61088%
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 | 8 | $4,760 |
| AbbVie | 4 | $186 |
| Johnson & Johnson(2 entities) | 3 | $186 |
| Medtronic | 1 | $37 |
| Lexicon Pharmaceuticals, Inc. | 2 | $28 |
| Lilly USA, LLC | 2 | $23 |
| Servier Pharmaceuticals LLC | 1 | $19 |
| Merck | 1 | $18 |
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$4,500
- Da Vinci Surgical System$110
How this compares
$5,257 in reported general payments places this provider in the 70th percentile of 191 surgical oncology 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 surgical oncology in San Antonio
- Alfredo Santillan GomezSan Antonio$125K
- Mio KitanoSan Antonio$32K
- Farbod MalekSan Antonio$16K
- Maryam ElmiSan Antonio$12K
- Allan WhiteSan Antonio$5K
- Federico TozziSan Antonio$4K
- Allison DipasqualeDallas$272K
- Merrick RossHouston$216K
- John HardawayShenandoah$164K
- Steven CurleyTyler$162K
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.