Renee Smith
Obstetrics & Gynecology · Decatur, TXNPI 1255397394
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.3% of it on its own, with 41 other manufacturers making up the rest. Reporting peaked in 2024 at $3,975 and has fallen 92.2% since, to $310 in 2025.
Across 126 payments — averaging $48.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$411
- Daiichi Sankyo Inc.$349
- Astellas Pharma US Inc$245
- Mayne Pharma Commercial LLC$110
- Evofem Biosciences, Inc.$83
- plus $1K from 36 others
What the payments were for
- Travel & lodging$70011%
- Food & beverage$2,20636%
- Education$3,18852%
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 |
|---|---|---|
| Intuitive Surgical | 9 | $3,736 |
| AbbVie | 25 | $411 |
| Daiichi Sankyo Inc. | 18 | $349 |
| Astellas Pharma US Inc | 5 | $245 |
| Mayne Pharma Commercial LLC | 4 | $110 |
| Evofem Biosciences, Inc. | 5 | $83 |
| Organon | 5 | $81 |
| Bayer | 4 | $70 |
| Molnlycke Health Care US, LLC | 1 | $68 |
| Exeltis, USA Inc. | 4 | $66 |
| Sumitomo Pharma America, Inc. | 3 | $62 |
| Shield Therapeutics Inc | 3 | $58 |
| Pfizer | 3 | $50 |
| Monaghan Medical Corporation | 2 | $48 |
| Dexcom, Inc. | 1 | $48 |
| Myovant Sciences Inc. | 2 | $47 |
| Roche Diagnostics Corporation | 2 | $43 |
| Johnson & Johnson | 2 | $38 |
| Pacira Pharmaceuticals Incorporated | 2 | $37 |
| Novo Nordisk | 1 | $33 |
| Medicem Inc. | 2 | $30 |
| Medtronic | 1 | $28 |
| Northgate Technologies, Inc. | 1 | $26 |
| Avion Pharmaceuticals | 2 | $26 |
| Aspira Women's Health Inc | 2 | $25 |
| Hologic Sales And Service, LLC | 1 | $24 |
| Biogen | 1 | $22 |
| Agile Therapeutics, Inc. | 1 | $21 |
| Mylan Pharmaceuticals Inc. | 1 | $19 |
| Lupin Inc. | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $19 |
| TELA Bio, Inc. | 1 | $18 |
| Covidien LP | 1 | $18 |
| Therapeuticsmd, Inc. | 1 | $17 |
| Cook Medical LLC | 1 | $15 |
| Conmed Corporation | 1 | $14 |
| Currax Pharmaceuticals LLC | 1 | $13 |
| Mission Pharmacal Company | 1 | $13 |
| Coopersurgical, Inc. | 1 | $12 |
| Minerva Surgical, Inc | 1 | $12 |
| Merck | 1 | $12 |
| Biomerieux Inc | 1 | $10 |
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.
- DAVINCI XI$3,000
- Da Vinci Surgical System$670
How this compares
$6,095 in reported general payments places this provider in the 85th percentile of 3,099 obstetrics & gynecology 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 | 97 | $3,235 |
| Liothyronine Sodium | 18 | $656 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 18 | $338 |
| Medroxyprogesterone Acetate | 15 | $287 |
| Levothyroxine Sodium | 32 | $269 |
| Alendronate Sodium | 17 | $267 |
| Spironolactone | 13 | $232 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Decatur
- Devin GarzaAustin$2M
- Shawn TassoneAustin$1.3M
- Dale StovallDallas$590K
- Karyn-Anne CumberbatchMissouri City$452K
- Robert AsgharianEl Paso$366K
- Catherine HansenWebster$357K
- Lisa JukesBee Cave$270K
- Susan CrockettLive Oak$269K
- Henry Garza IiiSan Antonio$258K
- Rene LunaMcAllen$257K
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.