Christie Bialowas
Plastic and Reconstructive Surgery · San Antonio, TXNPI 1215135744
Payments from drug & device makers
Across 27 payments — averaging $128.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$1K
- Wound Management Technologies, Inc$820
- Axogen$564
- Solventum Corporation$243
- Sientra, Inc.$165
- AbbVie$123
- plus $244 from 5 others
What the payments were for
- Consulting fees$50014%
- Food & beverage$2,02658%
- Other$94227%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 6 | $1,309 |
| Wound Management Technologies, Inc | 3 | $820 |
| Axogen | 8 | $564 |
| Solventum Corporation | 2 | $243 |
| Sientra, Inc. | 1 | $165 |
| AbbVie | 2 | $123 |
| Kls-martin L.p. | 1 | $108 |
| Acera Surgical, Inc. | 1 | $63 |
| KCI USA, Inc. | 1 | $32 |
| Avita Medical Americas, LLC | 1 | $27 |
| Stryker | 1 | $15 |
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.
- INTEGRA DERMAL REGENERATION TEMPLATE$1,096
- CellerateRx$772
- INTEGRA$464
- AVANCE NERVE GRAFT$377
- AxoGuard Nerve Connector$369
- AxoGuard Nerve Protector$369
- PRIMATRIX$271
- AXOGUARD HA+ NERVE PROTECTOR$253
- AxoGuard Nerve Cap$253
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$165
- V.A.C. GRANUFOAM$135
- BILAYER WOUND MATRIX (BWM)$117
- INTEGRA WOUND MATRIX (IWM)$117
- IDRT$117
- FLOWABLE$117
- ALLODERM$109
- PREVENA$108
How this compares
$3,468 in reported general payments places this provider in the 55th percentile of 378 plastic and reconstructive surgery providers in Texas.
See all plastic and reconstructive 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 |
|---|---|---|
| Oxycodone Hcl | 11 | $33 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in San Antonio
- Oscar OchoaSan Antonio$35K
- Oriana Haran-AnschelSan Antonio$17K
- Aldona SpiegelHouston$884K
- Patrick GarveyHouston$411K
- Steven MapulaFort Worth$234K
- Charles ButlerHouston$227K
- Joshua LemmonRichardson$212K
- Michael KlebucHouston$204K
- Jeffrey FriedmanHouston$159K
- Patrick ProfferAmarillo$151K
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.