Rafael Gonzalez, MD
Interventional Cardiology · Round Rock, TXNPI 1033238019
Payments from drug & device makers
Across 350 payments — averaging $53.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$4K
- Shockwave Medical, Inc$3K
- Medtronic$3K
- Abbott$3K
- Abiomed$819
- Biotronik Inc.$608
- plus $3K from 22 others
What the payments were for
- Travel & lodging$3,41118%
- Food & beverage$15,28182%
- Education$230%
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.
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 | 41 | $4,279 |
| Shockwave Medical, Inc | 46 | $3,378 |
| Medtronic(2 entities) | 84 | $3,277 |
| Abbott | 43 | $3,094 |
| Abiomed | 21 | $819 |
| Biotronik Inc. | 17 | $608 |
| Inari Medical, Inc. | 5 | $558 |
| Impulse Dynamics (USA) Inc. | 5 | $534 |
| Teleflex LLC | 16 | $503 |
| Boston Scientific | 19 | $414 |
| AstraZeneca | 14 | $225 |
| Siemens Medical Solutions USA, Inc. | 2 | $169 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $142 |
| Terumo Medical Corporation | 7 | $131 |
| Stryker | 4 | $122 |
| Cardiovascular Systems Inc. | 3 | $96 |
| Philips North America LLC | 3 | $81 |
| Novartis | 2 | $52 |
| Recor Medical Inc | 2 | $49 |
| EKOS Corporation | 2 | $27 |
| Amgen | 1 | $26 |
| Saranas, Inc. | 1 | $24 |
| Cook Medical LLC | 1 | $24 |
| Angiodynamics, Inc. | 1 | $24 |
| Gilead | 1 | $16 |
| Boehringer Ingelheim | 1 | $15 |
| Heartflow, Inc. | 1 | $14 |
| Johnson & Johnson | 1 | $12 |
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.
- Mitra Clip system$1,958
- EVOQUE$1,789
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$1,204
- COREVALVE EVOLUT R$1,167
- PASCAL$731
- OPTIMIZER$491
- FLOWTRIEVER CATHETER, S$478
- CT THROMBECTOMY SYSTEM KIT$478
- Impella$415
- Vascular Lithotripsy$372
- SAPIEN 3 Ultra RESILIA$278
- CoreValve Evolut$262
- Orsiro Mission$255
- SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE C2+ CORONARY$180
- MitraClip$164
- Artis icono floor$150
- JOT DX$148
- MANTA$148
- Avalus$134
- Turnpike LP Catheter$134
How this compares
$18,715 in reported general payments places this provider in the 60th percentile of 686 interventional cardiology 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 | 190 | $220,405 |
| JardianceEmpagliflozin | 33 | $38,539 |
| XareltoRivaroxaban | 28 | $33,215 |
| Repatha SureclickEvolocumab | 17 | $20,531 |
| EntrestoSacubitril/Valsartan | 11 | $16,957 |
| Warfarin Sodium | 215 | $3,283 |
| Metoprolol Succinate | 171 | $2,832 |
| Atorvastatin Calcium | 192 | $2,563 |
| ClopidogrelClopidogrel Bisulfate | 172 | $2,553 |
| Rosuvastatin Calcium | 94 | $2,026 |
| Losartan Potassium | 79 | $1,375 |
| Amiodarone Hcl | 23 | $957 |
| Lisinopril | 92 | $787 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 20 | $687 |
| Simvastatin | 31 | $679 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance | $15 | $38,53933 claims |
| Johnson & JohnsonXarelto | $12 | $33,21528 claims |
| NovartisEntresto | $52 | $16,95711 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 686 interventional cardiology providers in Texas.
Other interventional cardiology in Round Rock
- Angel CalderaRound Rock$909K
- Robert StolerDallas$8.2M
- James ChoiDallas$5.2M
- Srinivasa PotluriPlano$5.1M
- Neal KleimanHouston$4.8M
- Juan GranadaHouston$4.3M
- Ira LieberKingwood$3.3M
- Cara Ann EastDallas$3M
- Abhijeet DhobleHouston$2.7M
- Jeffrey CarrTyler$2.7M
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.