Cristina Lopez Penalver
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,352 of the $1,652 with a category attached, or 81.8%. 10 manufacturers reported payments, led by Pacira Pharmaceuticals Incorporated at 36.6% of the total. Reporting peaked in 2019 at $751 and has fallen 83.5% since, to $124 in 2025. That places this record below the midpoint for surgery clinicians in FL, where the typical reported total is $2,683.
Across 14 payments — averaging $117.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$605
- Vector Surgical, LLC$300
- Elucent Medical$175
- Stryker$149
- Merit Medical Systems Inc$124
- Genentech USA, Inc.$120
- plus $179 from 4 others
Across 3 payments — averaging $7483.33 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Icad, Inc$22K
What the payments were for
- Consulting fees$30018%
- Food & beverage$1,35282%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 2 | $605 |
| Vector Surgical, LLC | 2 | $300 |
| Elucent Medical | 1 | $175 |
| Stryker | 2 | $149 |
| Merit Medical Systems Inc | 1 | $124 |
| Genentech USA, Inc. | 1 | $120 |
| Medical Device Business Services, Inc. | 2 | $72 |
| Gilead | 1 | $67 |
| Osprey Medical Inc | 1 | $22 |
| Pfizer | 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.
- EXPAREL$605
- MarginMarker$300
- Savi SCOUT$124
- Herceptin$120
- TECENTRIQ$120
- SURG - NEPTUNE$116
How this compares
$1,652 in reported general payments places this provider in the 40th percentile of 1,569 surgery providers in Florida.
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 |
|---|---|---|
| Ibandronate Sodium | 32 | $1,072 |
| Raloxifene Hcl | 11 | $455 |
| Alendronate Sodium | 42 | $327 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $58 |
Paid to pharmacies, not to this prescriber.
Other surgery in Miami
- Anthony GonzalezMiami$686K
- Jose MartinezMiami$186K
- Michael RendaMiami$90K
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
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.