Jose Barrera
Facial Plastic Surgery · San Antonio, TXNPI 1619966686
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.5%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Stryker accounts for 74.0% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $84,867 and has fallen 93.8% since, to $5,229 in 2025. Among facial plastic surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 259 payments — averaging $463.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$89K
- Galderma Laboratories, L.p.$15K
- Livanova USA, Inc.$9K
- Synthes GmbH$5K
- Inspire Medical Systems, Inc.$2K
- AbbVie$472
- plus $916 from 8 others
Across 109 payments — averaging $8601.98 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.
- Livanova USA, Inc.$854K
- Aerin Medical Inc.$61K
- Stryker$23K
What the payments were for
- Consulting fees$37,85031%
- Speaking & faculty fees$24,69121%
- Travel & lodging$51,05342%
- Food & beverage$6,5675%
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 |
|---|---|---|
| Stryker | 141 | $88,863 |
| Galderma Laboratories, L.p. | 34 | $14,661 |
| Livanova USA, Inc. | 10 | $8,892 |
| Synthes GmbH | 9 | $4,709 |
| Inspire Medical Systems, Inc. | 42 | $1,650 |
| AbbVie(2 entities) | 3 | $472 |
| Aerin Medical Inc. | 7 | $344 |
| Johnson & Johnson | 5 | $195 |
| Integra Lifesciences Corporation | 2 | $147 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $108 |
| Baxter Healthcare | 1 | $54 |
| Boston Scientific | 1 | $24 |
| Smith+Nephew | 1 | $22 |
| Merck | 1 | $22 |
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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$82,941
- THN Sleep Therapy$8,749
- LATERA$3,590
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$945
- Inspire$737
- SPIROX - LATERA$562
- ENTELLUS - FOCESS HD WIRELESS CAMERA$517
- CLARIFIX CRYOTHERAPY DEVICE$500
- ENTELLUS MEDICAL FOCESS SINUSCOPE$500
- XEROGEL NASAL/EPISTAXIS 2 PACK$500
- NASOPORE$500
- Inspire Upper Airway Stimulation System$326
- XPRESS ENT DILATION SYSTEM$250
- BOTOX$188
- ALLODERM$147
- BOTOX COSMETIC$137
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM$128
- DuraSorb Monofilament Mesh$119
- DYSPORT$101
How this compares
$120,162 in reported general payments places this provider in the 95th percentile of 42 facial plastic 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 |
|---|---|---|
| Doxycycline Hyclate | 20 | $202 |
| Gabapentin | 15 | $35 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in San Antonio
- Christine TaylorSan Antonio$804
- John MoreheadSan Antonio$91
- Eli GordinDallas$52K
- Ifeolumipo SofolaThe Woodlands$49K
- Vu HoPlano$33K
- Edward BuckinghamAustin$15K
- Tang HoHouston$4K
- Kent DavisHouston$4K
- Regina RodmanGalveston$4K
- Benjamin BassichisDallas$4K
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.