Cesar Rios, MD
Cardiovascular Disease · Kansas City, MONPI 1124075064
Payments from drug & device makers
Across 235 payments — averaging $22.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$507
- Pfizer$395
- Novartis$369
- Impulse Dynamics (USA) Inc.$362
- E.r. Squibb & Sons, L.L.C.$350
- Biotronik Inc.$328
- plus $3K from 27 others
What the payments were for
- Food & beverage$5,361100%
- Education$80%
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 |
|---|---|---|
| Amgen | 32 | $507 |
| Pfizer | 29 | $395 |
| Novartis | 25 | $369 |
| Impulse Dynamics (USA) Inc. | 4 | $362 |
| E.r. Squibb & Sons, L.L.C. | 23 | $350 |
| Biotronik Inc. | 4 | $328 |
| Abiomed | 3 | $312 |
| Novo Nordisk | 7 | $240 |
| Merck | 15 | $235 |
| Medtronic(2 entities) | 7 | $219 |
| Abbott | 4 | $217 |
| Johnson & Johnson | 13 | $208 |
| Lantheus Medical Imaging, Inc. | 8 | $207 |
| Scpharmaceuticals Inc. | 5 | $174 |
| Boston Scientific | 7 | $129 |
| Sanofi-aventis U.S. LLC | 8 | $128 |
| Janssen Scientific Affairs, LLC | 1 | $125 |
| Boehringer Ingelheim | 8 | $123 |
| AstraZeneca | 6 | $114 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $110 |
| Bayer | 5 | $87 |
| Akcea Therapeutics, Inc. | 1 | $80 |
| Shockwave Medical, Inc | 2 | $74 |
| Irhythm Technologies, Inc. | 3 | $63 |
| Edwards Lifesciences | 2 | $49 |
| Philips North America LLC | 2 | $34 |
| Cardiva Medical, Inc. | 1 | $22 |
| Lexicon Pharmaceuticals, Inc. | 1 | $19 |
| Actelion Pharmaceuticals US, Inc. | 1 | $19 |
| Lilly USA, LLC | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $18 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Elutia, Inc. | 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.
- OPTIMIZER$500
- Impella$258
- CardioMEMS HF System$145
- XARELTO$125
- FUROSCIX$120
How this compares
$5,369 in reported general payments places this provider in the 65th percentile of 391 cardiovascular disease providers in Missouri.
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 |
|---|---|---|
| EliquisApixaban | 199 | $177,091 |
| JardianceEmpagliflozin | 155 | $142,334 |
| EntrestoSacubitril/Valsartan | 108 | $124,946 |
| Repatha SureclickEvolocumab | 58 | $56,063 |
| XareltoRivaroxaban | 54 | $49,974 |
| Atorvastatin Calcium | 255 | $3,020 |
| Metoprolol Succinate | 243 | $2,751 |
| Carvedilol | 216 | $1,820 |
| Losartan Potassium | 184 | $1,820 |
| Rosuvastatin Calcium | 71 | $1,278 |
| Eplerenone | 13 | $1,254 |
| Ranolazine ErRanolazine | 14 | $1,061 |
| Potassium Chloride | 75 | $1,055 |
| Hydralazine Hcl | 59 | $970 |
| Ezetimibe | 39 | $927 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $395 | $177,091199 claims |
| Boehringer IngelheimJardiance | $123 | $142,334155 claims |
| NovartisEntresto | $369 | $124,946108 claims |
| Johnson & JohnsonXarelto | $208 | $49,97454 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 65th percentile of 391 cardiovascular disease providers in Missouri.
Other cardiovascular disease in Kansas City
- Mikhail KosiborodKansas City$27.8M
- John SpertusKansas City$2.3M
- Rajat BaruaKansas City$264K
- Kyle LehenbauerKansas City$108K
- Paramdeep BawejaKansas City$68K
- Deepa UpadhyayaKansas City$58K
- John LeeKansas City$45K
- David SkolnickKansas City$44K
- Garth GrahamKansas City$32K
- Mohammad TahirSaint Louis$2.7M
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.