Carlos Perez-Cosio, MD
Obstetrics & Gynecology · Las Vegas, NVNPI 1396991113
Payments from drug & device makers
What this record shows
This record is dominated by education: $8,029 of the $10,835 with a category attached, or 74.1%. Intuitive Surgical accounts for 77.0% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2024 at $8,472 and has fallen 97.8% since, to $187 in 2025. Among obstetrics & gynecology clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 85 payments — averaging $127.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Boston Scientific$1K
- AbbVie$236
- Avanos Medical$136
- Bayer$131
- Mayne Pharma Commercial LLC$130
- plus $832 from 23 others
What the payments were for
- Travel & lodging$6336%
- Food & beverage$2,17320%
- Education$8,02974%
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 | $8,340 |
| Boston Scientific | 7 | $1,030 |
| AbbVie(2 entities) | 12 | $236 |
| Avanos Medical | 6 | $136 |
| Bayer | 6 | $131 |
| Mayne Pharma Commercial LLC | 5 | $130 |
| Myovant Sciences Inc. | 5 | $108 |
| Hologic Sales And Service, LLC | 5 | $82 |
| Biogen | 3 | $72 |
| Coopersurgical, Inc. | 4 | $64 |
| Medtronic | 2 | $54 |
| Baxter Healthcare | 1 | $47 |
| Merck | 3 | $45 |
| Organon | 2 | $40 |
| Exact Sciences | 2 | $38 |
| Astellas Pharma US Inc | 2 | $36 |
| Aspira Women's Health Inc | 2 | $35 |
| Millicent US Inc | 2 | $33 |
| Roche Diagnostics Corporation | 1 | $25 |
| Optumhealth Care Solutions, LLC | 1 | $24 |
| Shield Therapeutics Inc | 1 | $18 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Evofem Biosciences, Inc. | 1 | $17 |
| Dexcom, Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $14 |
| Ferring Pharmaceuticals Inc. | 1 | $14 |
| AMAG Pharmaceuticals, Inc. | 1 | $13 |
| Meditrina | 1 | $11 |
| Mylan Pharmaceuticals Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$8,300
- Solyx SIS System$782
How this compares
$10,835 in reported general payments places this provider in the 90th percentile of 308 obstetrics & gynecology providers in Nevada.
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 obstetrics & gynecology in Las Vegas
- Darin SwainstonLas Vegas$713K
- Christina KushnirLas Vegas$502K
- Lamarr TylerLas Vegas$170K
- Ralph VennartLas Vegas$144K
- Kenneth VolkerLas Vegas$126K
- Navkaran SinghLas Vegas$104K
- Sunwook KimLas Vegas$94K
- Luis Lopez BenitezLas Vegas$89K
- Linda TranLas Vegas$72K
- Raul Romero JosephLas Vegas$61K
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.