Julian Robles, MD
Hospitalist · Sioux Falls, SDNPI 1639739519
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 9 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Boston Scientific at 42.7% of the total. Among hospitalist clinicians in SD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 9 payments — averaging $32.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$125
- Johnson & Johnson$39
- Ardelyx, Inc.$25
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$24
- AbbVie$23
- Takeda Pharmaceuticals U.S.A., Inc.$22
- plus $35 from 2 others
What the payments were for
- Food & beverage$293100%
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.
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 |
|---|---|---|
| Boston Scientific | 1 | $125 |
| Johnson & Johnson | 2 | $39 |
| Ardelyx, Inc. | 1 | $25 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $24 |
| AbbVie | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $22 |
| Mirum Pharmaceuticals, Inc. | 1 | $20 |
| Celltrion USA Inc. | 1 | $16 |
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
$293 in reported general payments places this provider in the 90th percentile of 81 hospitalist providers in South Dakota.
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 |
|---|---|---|
| Furosemide | 12 | $13 |
| Metoprolol Tartrate | 12 | $10 |
Paid to pharmacies, not to this prescriber.
Other hospitalist in Sioux Falls
- Emmanuel FohleSioux Falls$9K
- Andreea-Constanta StanSioux Falls$1K
- Swetha AlapatiSioux Falls$747
- Jeremy CauwelsSioux Falls$359
- Melanie LavoieSioux Falls$309
- Ellis EasterlingSioux Falls$220
- Erik JacobsonSioux Falls$217
- Jamal DodinSioux Falls$146
- Pierce MaslachSioux Falls$125
- Patrick BenjaminSioux Falls$125
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.