Rene Perez, MD
Obstetrics · San Antonio, TXNPI 1669687141
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $12,738 of the $19,937 with a category attached, or 63.9%. 22 manufacturers reported payments, led by Acessa Health Inc. at 54.7% of the total. Reporting peaked in 2020 at $5,949 and has fallen 93.6% since, to $379 in 2025. Among obstetrics clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 141 payments — averaging $141.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acessa Health Inc.$11K
- Meditrina$4K
- Alliance Partners LLC$2K
- AbbVie$1K
- Intuitive Surgical$562
- Medtronic$467
- plus $1K from 16 others
What the payments were for
- Consulting fees$12,73864%
- Travel & lodging$1,4907%
- Food & beverage$5,71029%
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 |
|---|---|---|
| Acessa Health Inc.(2 entities) | 17 | $10,906 |
| Meditrina | 9 | $3,659 |
| Alliance Partners LLC | 15 | $1,914 |
| AbbVie | 49 | $1,209 |
| Intuitive Surgical | 7 | $562 |
| Medtronic | 6 | $467 |
| Hologic Sales And Service, LLC | 4 | $331 |
| Organon | 14 | $141 |
| Acera Surgical, Inc. | 1 | $134 |
| Novo Nordisk | 1 | $125 |
| Myriad Genetic Laboratories, Inc. | 1 | $122 |
| Coopersurgical, Inc. | 2 | $117 |
| Merck | 3 | $45 |
| Shield Therapeutics Inc | 3 | $44 |
| Pfizer | 2 | $38 |
| Mayne Pharma Commercial LLC | 1 | $29 |
| Exeltis, USA Inc. | 1 | $19 |
| Therapeuticsmd, Inc. | 1 | $17 |
| Aspira Women's Health Inc | 1 | $17 |
| Minerva Surgical, Inc | 1 | $15 |
| Melinta Therapeutics, LLC | 1 | $14 |
| Avion Pharmaceuticals | 1 | $11 |
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.
- Acessa$6,116
- ACESSA PROVU SYSTEM$4,838
- aveta$1,750
- Swannshidi$1,650
- NAKOMA CERVICAL SYSTEM$1,650
- TruClear$283
- Da Vinci Surgical System$238
- Orilissa$231
- Restrata Wound Matrix$134
- MYOSURE TISSUE REMOVAL DEVICE$132
- NovaSure$130
- Wegovy$125
- myRisk$122
- ALLY II UPS$102
How this compares
$19,937 in reported general payments places this provider in the 95th percentile of 85 obstetrics 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 |
|---|---|---|
| Estradiol | 20 | $783 |
| Imipramine Hcl | 20 | $100 |
| Clindamycin Hcl | 16 | $73 |
Paid to pharmacies, not to this prescriber.
Other obstetrics in San Antonio
- Jennifer ArzolaSan Antonio$5K
- Ashley HarrisSan Antonio$3K
- Vu TruongSan Antonio$2K
- Jessica GuerreroSan Antonio$2K
- Cristina Wallace HuffSan Antonio$1K
- Roberta KruegerSan Antonio$1K
- Jose FarinaSan Antonio$718
- Hearther DaleyMcAllen$57K
- Sara MoufarrijHouston$52K
- Lisa BourbeauAustin$11K
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.