Max Garoutte, MD
Cardiovascular Disease · San Antonio, TXNPI 1235135344
Payments from drug & device makers
Across 114 payments — averaging $114.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cardiva Medical, Inc.$11K
- Abbott$2K
- Medtronic$359
- Philips North America LLC$100
- Osprey Medical Inc$19
- Biotronik Inc.$16
What the payments were for
- Speaking & faculty fees$10,50081%
- Food & beverage$2,52019%
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 |
|---|---|---|
| Cardiva Medical, Inc. | 3 | $10,575 |
| Abbott | 101 | $1,950 |
| Medtronic(2 entities) | 7 | $359 |
| Philips North America LLC | 1 | $100 |
| Osprey Medical Inc | 1 | $19 |
| Biotronik 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
$13,020 in reported general payments places this provider in the 75th percentile of 1,515 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 81 | $97,061 |
| XareltoRivaroxaban | 71 | $88,392 |
| EntrestoSacubitril/Valsartan | 19 | $31,406 |
| Nebivolol Hcl | 66 | $3,584 |
| ClopidogrelClopidogrel Bisulfate | 183 | $2,011 |
| Metoprolol Succinate | 112 | $1,729 |
| Diltiazem 24hr Er (La)Diltiazem Hcl | 11 | $1,648 |
| Minoxidil | 38 | $1,565 |
| Amiodarone Hcl | 73 | $1,522 |
| Losartan Potassium | 118 | $1,389 |
| Flecainide Acetate | 44 | $1,186 |
| SotalolSotalol Hcl | 52 | $1,157 |
| Carvedilol | 138 | $1,126 |
| Atorvastatin Calcium | 110 | $1,084 |
| Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide | 28 | $1,060 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in San Antonio
- Chandrasekhar KunavarapuSan Antonio$765K
- Robert SchnitzlerSan Antonio$425K
- Ramin Farzaneh-FarDallas$17.1M
- Jeffrey GladdenDallas$15.8M
- Ann NavarDallas$14.5M
- David BrabhamAmarillo$11.5M
- Justin GrodinDallas$6.2M
- Christie BallantyneHouston$4.6M
- Syed NaqviHouston$3.6M
- Faisal WahidMcKinney$3.4M
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.