Maria Gasca-Holtz, MD
Obstetrics & Gynecology · Yuma, AZNPI 1104905322
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 93.1% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $11,046 and has fallen 86.1% since, to $1,541 in 2025. Among obstetrics & gynecology clinicians in AZ 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 49 payments — averaging $265.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$12K
- Coloplast$236
- Hologic Sales And Service, LLC$215
- Myriad Women's Health, Inc.$145
- GSK$124
- Coopersurgical, Inc.$60
- plus $117 from 5 others
What the payments were for
- Travel & lodging$4,56035%
- Food & beverage$1,44011%
- Education$7,00054%
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 | 29 | $12,102 |
| Coloplast | 4 | $236 |
| Hologic Sales And Service, LLC | 5 | $215 |
| Myriad Women's Health, Inc. | 2 | $145 |
| GSK | 1 | $124 |
| Coopersurgical, Inc. | 2 | $60 |
| Medtronic | 2 | $47 |
| Bayer | 1 | $22 |
| AbbVie | 1 | $20 |
| KCI USA, Inc. | 1 | $15 |
| Olympus America Inc. | 1 | $14 |
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.
- DAVINCI XI$7,000
- Da Vinci Surgical System$4,710
- ACESSA PROVU SYSTEM$147
- MYOSURE TISSUE REMOVAL DEVICE$147
- JEMPERLI$124
- myRisk$122
- RESTORELLE$118
How this compares
$13,000 in reported general payments places this provider in the 90th percentile of 757 obstetrics & gynecology providers in Arizona.
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 |
|---|---|---|
| MyrbetriqMirabegron | 35 | $27,825 |
| Mirabegron ErMirabegron | 12 | $4,961 |
| Estradiol | 29 | $3,806 |
| YuvafemEstradiol | 21 | $3,302 |
| PremarinEstrogens, Conjugated | 13 | $2,807 |
| ValacyclovirValacyclovir Hcl | 25 | $2,128 |
| Tolterodine Tartrate ErTolterodine Tartrate | 16 | $1,343 |
| Solifenacin Succinate | 17 | $873 |
| Clobetasol Propionate | 24 | $793 |
| Oxybutynin Chloride ErOxybutynin Chloride | 29 | $660 |
| Gabapentin | 25 | $295 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 20 | $286 |
| Medroxyprogesterone Acetate | 30 | $260 |
| Alendronate Sodium | 11 | $123 |
| Fluoxetine Hcl | 13 | $119 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Yuma
- John AmonYuma$22K
- Kruthi KelurYuma$21K
- Robert BarnettYuma$13K
- Dania SweidanYuma$12K
- Nader HaddadYuma$9K
- Catherine BrainardTucson$302K
- Micah HarrisScottsdale$217K
- Steven NelsonPhoenix$159K
- Ernesto GomezMesa$145K
- Bj HoPhoenix$134K
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.