Pamela Otto, MD
Diagnostic Radiology · San Antonio, TXNPI 1700897592
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Canon Medical Systems USA, Inc. accounts for 89.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2021 at $866 and has fallen 97.8% since, to $19 in 2024.
Across 13 payments — averaging $141.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Canon Medical Systems USA, Inc.$2K
- Elite Orthopedics, LLC$143
- Bard Peripheral Vascular, Inc.$21
- Boston Scientific$19
- Agfa Healthcare Corporation$17
Across 54 payments — averaging $8678.46 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.
- Guerbet LLC$469K
What the payments were for
- Consulting fees$75041%
- Travel & lodging$59032%
- Food & beverage$49627%
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 |
|---|---|---|
| Canon Medical Systems USA, Inc. | 9 | $1,635 |
| Elite Orthopedics, LLC | 1 | $143 |
| Bard Peripheral Vascular, Inc. | 1 | $21 |
| Boston Scientific | 1 | $19 |
| Agfa Healthcare Corporation | 1 | $17 |
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.
- Vantage Galan 3T$750
- Vantage Orian$116
How this compares
$1,836 in reported general payments places this provider in the 85th percentile of 2,506 diagnostic radiology 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 diagnostic radiology in San Antonio
- Anthony StavrosSan Antonio$465K
- Michael MiddlebrookSan Antonio$44K
- Carlos RestrepoSan Antonio$38K
- Juan GutierrezSan Antonio$37K
- Michael LaneSan Antonio$17K
- Todd TibbettsSan Antonio$15K
- Rajeev SuriSan Antonio$15K
- Harlan HarveyHouston$583K
- Steven RoweDallas$407K
- Alexandru BageacFort Worth$339K
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.