Fernando Miranda
Surgery · Pasadena, TXNPI 1205879822
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,160 of the $17,043 with a category attached, or 71.3%. Intuitive Surgical accounts for 91.5% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2020 at $6,524 and has fallen 82.4% since, to $1,145 in 2025.
Across 55 payments — averaging $309.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$16K
- W. L. Gore & Associates, Inc.$404
- Novo Nordisk$382
- Medtronic$175
- Standard Bariatrics, Inc.$120
- Medical Device Business Services, Inc.$98
- plus $264 from 7 others
What the payments were for
- Travel & lodging$2,18613%
- Food & beverage$2,68916%
- Education$12,16071%
- Gifts$90%
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 | 32 | $15,601 |
| W. L. Gore & Associates, Inc. | 5 | $404 |
| Novo Nordisk | 7 | $382 |
| Medtronic | 2 | $175 |
| Standard Bariatrics, Inc. | 1 | $120 |
| Medical Device Business Services, Inc. | 1 | $98 |
| Teleflex LLC | 1 | $96 |
| Conmed Corporation | 1 | $53 |
| Baxter Healthcare | 1 | $38 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| Johnson & Johnson | 1 | $19 |
| Enterra Medical, Inc. | 1 | $18 |
| Boston Scientific | 1 | $17 |
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$12,975
- DAVINCI XI$2,000
- Wegovy$249
- Signia$159
- BIO-A Tissue Reinforcement$158
- SEAMGUARD$143
- TITAN SGS STANDARD GASTRIC STAPLER$120
How this compares
$17,043 in reported general payments places this provider in the 80th percentile of 1,830 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $196 |
Paid to pharmacies, not to this prescriber.
Other surgery in Pasadena
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
- Erik WilsonBellaire$610K
- Folahan AyoolaDenton$570K
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.