Carlos del Coro Amengual, MD
Surgery · El Paso, TXNPI 1942227384
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (58.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Intuitive Surgical at 48.2% of the total. Reporting peaked in 2023 at $1,724 and has fallen 89.3% since, to $185 in 2025.
Across 48 payments — averaging $78.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Medtronic$487
- Bard Peripheral Vascular, Inc.$240
- Veloxis Pharmaceuticals, Inc.$236
- Vifor Pharma, Inc.$147
- AstraZeneca$145
- plus $706 from 13 others
What the payments were for
- Travel & lodging$58615%
- Food & beverage$2,19858%
- Education$1,00026%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 5 | $1,823 |
| Medtronic | 5 | $487 |
| Bard Peripheral Vascular, Inc. | 14 | $240 |
| Veloxis Pharmaceuticals, Inc. | 4 | $236 |
| Vifor Pharma, Inc. | 2 | $147 |
| AstraZeneca | 3 | $145 |
| BD | 1 | $127 |
| Merck | 1 | $106 |
| Sanofi | 2 | $90 |
| Otsuka America Pharmaceutical, Inc. | 1 | $73 |
| Inspire Medical Systems, Inc. | 1 | $69 |
| Philips North America LLC | 1 | $63 |
| Lemaitre Vascular, Inc. | 2 | $39 |
| Eurofins Viracor, LLC | 1 | $30 |
| Baxter Healthcare | 1 | $27 |
| Sanofi-aventis U.S. LLC | 1 | $25 |
| Vertex | 1 | $22 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $18 |
| Mallinckrodt Hospital Products Inc. | 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$1,000
- Da Vinci Surgical System$804
- ELLIPSYS VASCULAR ACCESS SYSTEM$297
- Envarsus$250
- Phasix Mesh$127
- Veltassa$125
- LOKELMA$125
- PREVYMIS$106
How this compares
$3,784 in reported general payments places this provider in the 55th percentile of 1,830 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Valganciclovir Hcl | 50 | $10,847 |
| Envarsus XrTacrolimus | 11 | $5,851 |
| Mycophenolic AcidMycophenolate Sodium | 19 | $4,090 |
| Fluconazole | 73 | $3,952 |
| Prednisone | 45 | $704 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 52 | $436 |
| Famotidine | 45 | $329 |
| Tramadol Hcl | 33 | $123 |
| EnuloseLactulose | 16 | $112 |
| Lactulose | 12 | $109 |
| Furosemide | 31 | $99 |
| Amlodipine Besylate | 22 | $89 |
| Hydralazine Hcl | 13 | $57 |
Paid to pharmacies, not to this prescriber.
Other surgery in El Paso
- Diego Ramos ValadezEl Paso$208K
- Benjamin ClappEl Paso$91K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
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.