RxDoctor Payments Data

Jason Gauthier, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Antonio, TXNPI 1336520501

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (39.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Intuitive Surgical at 59.1% of the total. Reporting peaked in 2024 at $3,637 and has fallen 81.3% since, to $681 in 2025. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in TX, where the typical reported total is $5,866.

$6,509in general payments, 2019–2025

Across 38 payments — averaging $171.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$4K
  • Atricure, Inc.$732
  • AstraZeneca$525
  • Medical Device Business Services, Inc.$413
  • Paragonix Technologies, Inc.$321
  • Medtronic$171
  • plus $498 from 9 others
$100,013in research payments, 2019–2025

Across 4 payments — averaging $25,003 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.

  • Paragonix Technologies, Inc.$100K

What the payments were for

  • Consulting fees$5258%
  • Travel & lodging$1,01016%
  • Food & beverage$2,54739%
  • Education$2,41337%
  • Gifts$150%

General payments by program year

20
21
22
23
24
25

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.

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.

How this compares

$6,509 in reported general payments places this provider in the 50th percentile of 424 thoracic surgery (cardiothoracic vascular surgery) providers in Texas.

See all thoracic surgery (cardiothoracic vascular surgery) providers in Texas

Medicare billing

Part B allowed, 2024
$23,454
Medicare patients
21
Services billed
50

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 thoracic surgery (cardiothoracic vascular surgery) in San Antonio

See the full list for Texas

Where these figures come from

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