Ricardo Cristobal, MD
Otolaryngology · Fort Worth, TXNPI 1801059514
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,364 of the $5,168 with a category attached, or 65.1%. 13 manufacturers reported payments, led by Livanova USA, Inc. at 39.7% of the total. Reporting peaked in 2024 at $1,637 and has fallen 74.9% since, to $411 in 2025.
Across 86 payments — averaging $60.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Livanova USA, Inc.$2K
- Integra Lifesciences Corporation$1K
- Inspire Medical Systems, Inc.$1K
- Stryker$174
- Intersect ENT, Inc.$147
- Cochlear Americas$114
- plus $285 from 7 others
What the payments were for
- Travel & lodging$1,80435%
- Food & beverage$3,36465%
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 |
|---|---|---|
| Livanova USA, Inc. | 54 | $2,053 |
| Integra Lifesciences Corporation | 10 | $1,363 |
| Inspire Medical Systems, Inc. | 5 | $1,032 |
| Stryker | 1 | $174 |
| Intersect ENT, Inc. | 1 | $147 |
| Cochlear Americas | 4 | $114 |
| Advanced Bionics, LLC | 3 | $93 |
| Acclarent, Inc | 2 | $70 |
| Smith+Nephew | 2 | $42 |
| Johnson & Johnson | 1 | $38 |
| Med-el Corporation | 1 | $18 |
| Medtronic | 1 | $13 |
| Arbor Pharmaceuticals, Inc. | 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.
- Acclarent Aera$1,173
- Inspira Air$1,173
- Inspire Upper Airway Stimulation System$836
- VNS Therapy$610
- VNS THERAPY SENTIVA MODEL 1000 GENERATOR$387
- SCOPIS ENT$174
- PROPEL$147
- Inspire$137
- VNS - Sentiva$118
How this compares
$5,168 in reported general payments places this provider in the 75th percentile of 729 otolaryngology 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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 26 | $2,836 |
| Fluocinolone Acetonide Oil | 18 | $781 |
| Ofloxacin | 56 | $708 |
| Prednisolone Acetate | 14 | $466 |
| Amitriptyline Hcl | 26 | $388 |
| Azelastine Hcl | 14 | $381 |
| Cephalexin | 26 | $107 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $89 |
| Prednisone | 24 | $70 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 20 | $48 |
| Paroxetine Hcl | 11 | $47 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Fort Worth
- Marc DeanFort Worth$486K
- Jeremy WatkinsFort Worth$17K
- Jesse SmithFort Worth$16K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Jordan RihaniSouthlake$280K
- Keith MathenyFrisco$269K
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.