Michael Little, MD
Anesthesiology · San Antonio, TXNPI 1043412414
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,779 of the $2,750 with a category attached, or 64.7%. Edwards Lifesciences accounts for 78.5% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2024 at $2,009 and has fallen 75.8% since, to $485 in 2025. Among anesthesiology clinicians in TX 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 21 payments — averaging $130.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$2K
- Abbott$336
- Medtronic$125
- La Jolla Pharmaceutical Company$49
- Bolder Surgical, LLC$30
- Ambu Inc.$29
- plus $23 from 1 others
Across 19 payments — averaging $10,201 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.
- Haemonetics Corporation$194K
What the payments were for
- Travel & lodging$1,77965%
- Food & beverage$92334%
- Education$492%
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 |
|---|---|---|
| Edwards Lifesciences | 12 | $2,159 |
| Abbott | 4 | $336 |
| Medtronic | 1 | $125 |
| La Jolla Pharmaceutical Company | 1 | $49 |
| Bolder Surgical, LLC | 1 | $30 |
| Ambu Inc. | 1 | $29 |
| Mallinckrodt Enterprises LLC | 1 | $23 |
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.
- PASCAL$1,634
- CoreValve Evolut$125
How this compares
$2,750 in reported general payments places this provider in the 90th percentile of 3,899 anesthesiology 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.
Other anesthesiology in San Antonio
- Maxim EckmannSan Antonio$349K
- Maged MinaSan Antonio$66K
- Sridhar VasireddySan Antonio$18K
- Richard TeamesFort Worth$746K
- Tong GanHouston$700K
- Valentine GibsonRichardson$671K
- James MuellerDallas$636K
- Randy RobbinsPlano$593K
- Gabriel MenaHouston$494K
- Iden CowanAustin$305K
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.