Ralph Brookshire, DO
Vascular Surgery · Edinburg, TXNPI 1528165594
Payments from drug & device makers
What this record shows
This record is dominated by other: $42,958 of the $53,570 with a category attached, or 80.2%. Angiodynamics, Inc. accounts for 81.6% of it on its own, with 9 other manufacturers making up the rest. Among vascular surgery 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 122 payments — averaging $439.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$44K
- Catheter Precision, Inc. FKA Ra Medical Systems, Inc.$5K
- Abbott$3K
- Philips North America LLC$777
- Cook Medical LLC$686
- Bard Peripheral Vascular, Inc.$311
- plus $286 from 4 others
Across 8 payments — averaging $8544.75 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.
- Catheter Precision, Inc. FKA Ra Medical Systems, Inc.$68K
What the payments were for
- Consulting fees$3,5007%
- Travel & lodging$2,7815%
- Food & beverage$4,3318%
- Other$42,95880%
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 |
|---|---|---|
| Angiodynamics, Inc. | 23 | $43,688 |
| Catheter Precision, Inc. FKA Ra Medical Systems, Inc. | 47 | $5,127 |
| Abbott | 11 | $2,695 |
| Philips North America LLC | 16 | $777 |
| Cook Medical LLC | 8 | $686 |
| Bard Peripheral Vascular, Inc. | 8 | $311 |
| AbbVie | 5 | $194 |
| Boston Scientific | 2 | $39 |
| Melinta Therapeutics, LLC | 1 | $29 |
| Tactile Systems Technology Inc | 1 | $24 |
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.
- Auryon Laser System 100-120 Vac$43,220
- Emboshield NAV6 system$1,699
- Xience V coronary stent system$612
- DALVANCE$127
- Ultraverse 014$127
- Zilver Vena$124
- DABRA 101 Catheter$123
- ADVANCE$121
- Cook Medical Zilver PTX$117
- IGT D Peripheral$116
How this compares
$53,570 in reported general payments places this provider in the 90th percentile of 347 vascular surgery 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 vascular surgery in Edinburg
- James ChalkEdinburg$80K
- Gregory PearlDallas$2.3M
- Mazin FotehAustin$1.6M
- Alan LumsdenHouston$742K
- Stephen HohmannDallas$499K
- Michael SiahDallas$392K
- Gustavo OderichHouston$319K
- Jean BismuthHouston$243K
- Carlos TimaranDallas$231K
- Dennis GableDallas$211K
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.