Julia Romero, MD
Obstetrics & Gynecology · Houston, TXNPI 1689731697
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,083 of the $5,301 with a category attached, or 77.0%. It is spread thinly across 41 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,049 and has fallen 59.3% since, to $835 in 2025.
Across 198 payments — averaging $26.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acessa Health Inc.$839
- Coopersurgical, Inc.$487
- Astellas Pharma US Inc$484
- Intuitive Surgical$452
- Sumitomo Pharma America, Inc.$443
- Evofem Biosciences, Inc.$277
- plus $2K from 35 others
What the payments were for
- Consulting fees$200%
- Travel & lodging$1,18122%
- Food & beverage$4,08377%
- Entertainment$180%
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 |
|---|---|---|
| Acessa Health Inc. | 4 | $839 |
| Coopersurgical, Inc. | 11 | $487 |
| Astellas Pharma US Inc | 24 | $484 |
| Intuitive Surgical | 5 | $452 |
| Sumitomo Pharma America, Inc. | 20 | $443 |
| Evofem Biosciences, Inc. | 15 | $277 |
| AbbVie(2 entities) | 13 | $258 |
| Mayne Pharma Commercial LLC | 9 | $191 |
| Johnson & Johnson | 5 | $162 |
| Myovant Sciences Inc. | 7 | $133 |
| Exeltis, USA Inc. | 9 | $131 |
| Hologic Sales And Service, LLC | 6 | $115 |
| Bayer | 5 | $113 |
| Baxter Healthcare | 3 | $108 |
| Shield Therapeutics Inc | 5 | $94 |
| Organon | 8 | $80 |
| Therapeuticsmd, Inc. | 5 | $78 |
| Pfizer | 4 | $70 |
| Merck | 4 | $69 |
| Daiichi Sankyo Inc. | 3 | $57 |
| Applied Medical Resources Corporation | 1 | $56 |
| Zyla Life Sciences, Inc. | 3 | $55 |
| Biogen | 2 | $52 |
| Pacira Pharmaceuticals Incorporated | 2 | $52 |
| Millicent US Inc | 3 | $49 |
| Smith+Nephew | 2 | $47 |
| Dexcom, Inc. | 2 | $43 |
| Meditrina | 2 | $41 |
| Aspira Women's Health Inc | 2 | $37 |
| Exact Sciences | 2 | $36 |
| Minerva Surgical, Inc | 2 | $23 |
| Avion Pharmaceuticals | 1 | $23 |
| Duchesnay USA Incorporated | 1 | $21 |
| Lupin Inc. | 1 | $20 |
| ADMA Biomanufacturing LLC | 1 | $20 |
| Davol Inc. | 1 | $18 |
| Argentum Medical | 1 | $18 |
| Aroa Biosurgery Incorporated | 1 | $14 |
| Olympus America Inc. | 1 | $14 |
| Vertical Pharmaceuticals, LLC | 1 | $11 |
| Allotrope Medical, Inc | 1 | $10 |
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
$5,301 in reported general payments places this provider in the 85th percentile of 3,099 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 50 | $3,138 |
| ProgesteroneProgesterone, Micronized | 17 | $455 |
| Metronidazole | 15 | $438 |
| Fluconazole | 13 | $103 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Houston
- George KuhnHouston$244K
- Daisy AyimHouston$188K
- Shannon WestinHouston$176K
- Asha BhalwalHouston$151K
- Nicole TranHouston$133K
- Sandra HurtadoHouston$123K
- Alvaro MontealegreHouston$92K
- Patti RossHouston$72K
- Damla KarsanHouston$58K
- Christopher JayneHouston$52K
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.