Asha Bhalwal, MD
Obstetrics & Gynecology · Houston, TXNPI 1174887285
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.2%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Applied Medical Resources Corporation at 58.1% of the total. 2025 is the largest year on record at $64,728, more than ten times the $1,089 reported in 2019. Among obstetrics & gynecology clinicians in TX 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 248 payments — averaging $609.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Applied Medical Resources Corporation$88K
- Intuitive Surgical$26K
- Distalmotion US$25K
- Gynesonics, Inc.$3K
- Baxter Healthcare$3K
- Medtronic$1K
- plus $5K from 27 others
What the payments were for
- Consulting fees$19,06713%
- Speaking & faculty fees$79,00052%
- Travel & lodging$28,41119%
- Food & beverage$7,9385%
- Education$16,80011%
- Gifts$140%
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 |
|---|---|---|
| Applied Medical Resources Corporation | 89 | $87,916 |
| Intuitive Surgical | 27 | $25,718 |
| Distalmotion US | 8 | $24,679 |
| Gynesonics, Inc. | 6 | $3,395 |
| Baxter Healthcare | 9 | $3,294 |
| Medtronic | 19 | $1,315 |
| Covidien LP | 12 | $1,172 |
| Conmed Corporation | 1 | $800 |
| Pacira Pharmaceuticals Incorporated | 3 | $387 |
| Davol Inc. | 3 | $322 |
| BD | 1 | $214 |
| Hologic Sales And Service, LLC | 9 | $208 |
| Meditrina | 3 | $184 |
| AbbVie | 10 | $180 |
| Olympus America Inc. | 2 | $168 |
| Allotrope Medical, Inc | 1 | $160 |
| Sumitomo Pharma America, Inc. | 8 | $148 |
| Myovant Sciences Inc. | 5 | $122 |
| Johnson & Johnson | 3 | $118 |
| Boston Scientific | 3 | $114 |
| Bayer | 4 | $92 |
| Coopersurgical, Inc. | 5 | $89 |
| Aspira Women's Health Inc | 2 | $85 |
| Acessa Health Inc. | 1 | $85 |
| Smith+Nephew | 2 | $55 |
| Mayne Pharma Commercial LLC | 2 | $53 |
| Exeltis, USA Inc. | 2 | $40 |
| Evofem Biosciences, Inc. | 3 | $38 |
| Organon | 1 | $22 |
| Astellas Pharma US Inc | 1 | $16 |
| Convatec Inc. | 1 | $14 |
| Agile Therapeutics, Inc. | 1 | $14 |
| Pfizer | 1 | $13 |
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.
- GelPOINT V-Path$76,570
- Da Vinci Surgical System$25,608
- DEXTER L6 ROBOT$24,668
- SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM$3,261
- FLOSEAL$2,740
- PIONEER/RANGER$800
- TruClear$793
- HYSTEROLUX FLUID MANAGEMENT SYSTEM CONTROL UNIT$621
- EXPAREL$387
- TISSEEL$373
- ARISTA$235
- StimSite$160
- PerClot$150
- Olympus Surgical Accessories$148
- LigaSure$103
How this compares
$151,230 in reported general payments places this provider in the 95th percentile of 3,099 obstetrics & gynecology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 20 | $1,049 |
| Metronidazole | 15 | $185 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Houston
- George KuhnHouston$244K
- Daisy AyimHouston$188K
- Shannon WestinHouston$176K
- Nicole TranHouston$133K
- Sandra HurtadoHouston$123K
- Alvaro MontealegreHouston$92K
- Patti RossHouston$72K
- Damla KarsanHouston$58K
- Christopher JayneHouston$52K
- Hector DelcastilloHouston$42K
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.