Cesar Velasco, MD
Physical Medicine & Rehabilitation · Victoria, TXNPI 1134179583
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 206 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 11.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $969 and has fallen 73.9% since, to $253 in 2025. Among physical medicine & rehabilitation clinicians in TX 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 206 payments — averaging $20.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$494
- Amarin Pharma, Inc.$465
- Merck$459
- Radius Health, Inc.$350
- Johnson & Johnson$340
- Lilly USA, LLC$334
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,314100%
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(2 entities) | 22 | $494 |
| Amarin Pharma, Inc. | 20 | $465 |
| Merck | 35 | $459 |
| Radius Health, Inc. | 15 | $350 |
| Johnson & Johnson | 16 | $340 |
| Lilly USA, LLC | 14 | $334 |
| Novo Nordisk | 12 | $273 |
| Boehringer Ingelheim | 11 | $208 |
| Pfizer | 7 | $177 |
| AbbVie(2 entities) | 8 | $145 |
| Novartis | 6 | $115 |
| Inari Medical, Inc. | 1 | $115 |
| Bard Peripheral Vascular, Inc. | 1 | $111 |
| Arbor Pharmaceuticals, Inc. | 6 | $103 |
| Teva Pharmaceuticals USA, Inc. | 4 | $75 |
| Exact Sciences | 3 | $61 |
| AstraZeneca | 2 | $60 |
| Bayer | 3 | $56 |
| Biohaven Pharmaceuticals, Inc. | 3 | $55 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $48 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $45 |
| Sun Pharmaceutical Industries Inc. | 2 | $38 |
| Corcept Therapeutics | 1 | $25 |
| Nevro Corp. | 1 | $25 |
| Esperion Therapeutics, Inc. | 2 | $24 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Eisai Inc. | 1 | $20 |
| Exeltis, USA Inc. | 1 | $20 |
| GSK | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $14 |
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.
- FLOWTRIEVER CATHETER, S$115
- CT THROMBECTOMY SYSTEM KIT$115
- MOUNJARO$115
- LUTONIX$111
How this compares
$4,314 in reported general payments places this provider in the 90th percentile of 651 physical medicine & rehabilitation providers in Texas.
See all physical medicine & rehabilitation 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 physical medicine & rehabilitation in Victoria
- Gerard FranciscoHouston$364K
- Jose UrquidezAustin$332K
- Gireesh ShardaDallas$172K
- Suzanne ManziHouston$143K
- Cindy IvanhoeHouston$111K
- Chad McNeilTyler$64K
- Sheng LiHouston$44K
- Mary RussellShenandoah$37K
- Randall WolcottLubbock$31K
- Ryan WhitmerCollege Station$25K
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.