Robert Asgharian, MD
Obstetrics & Gynecology · El Paso, TXNPI 1497834345
Payments from drug & device makers
What this record shows
This record is dominated by education: $267,700 of the $366,042 with a category attached, or 73.1%. Intuitive Surgical accounts for 91.4% of it on its own, with 16 other manufacturers making up the rest. Among obstetrics & gynecology 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 641 payments — averaging $571.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$335K
- Astellas Pharma US Inc$10K
- Minerva Surgical, Inc$9K
- Axonics, Inc.$6K
- Coloplast$3K
- Boston Scientific$2K
- plus $3K from 11 others
What the payments were for
- Consulting fees$2,4001%
- Speaking & faculty fees$14,0254%
- Travel & lodging$49,94014%
- Food & beverage$31,9769%
- Education$267,70073%
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 | 406 | $334,655 |
| Astellas Pharma US Inc | 7 | $9,535 |
| Minerva Surgical, Inc | 28 | $8,690 |
| Axonics, Inc. | 107 | $5,845 |
| Coloplast | 19 | $2,631 |
| Boston Scientific | 28 | $2,102 |
| Medtronic(2 entities) | 17 | $1,101 |
| Integra Lifesciences Corporation | 9 | $466 |
| Femselect Inc. | 2 | $245 |
| Bolder Surgical LLC | 1 | $162 |
| AbbVie(2 entities) | 8 | $148 |
| Hologic Sales And Service, LLC | 1 | $145 |
| Coopersurgical, Inc. | 2 | $109 |
| Edwards Lifesciences | 2 | $97 |
| Caldera Medical, Inc | 1 | $65 |
| Merck | 2 | $29 |
| Myovant Sciences Inc. | 1 | $16 |
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.
- Da Vinci Surgical System$331,160
- Veozah$9,275
- Endometrial Ablation System (Device)$6,989
- Minerva ES$1,000
- Genesys HTA$1,000
- SYMPHION$1,000
- Resectr$1,000
- Bulkamid$982
- ALTIS$680
- RESTORELLE$589
- INTERSTIM$408
- SOLYX$329
- Saffron$319
- SUPRIS$259
- Axonics$249
- EnPlace$245
- Axonics r-SNM System$242
- Advantage System$236
- JustRight Sealer and CoolSeal Sealer$162
- JustRight Stapler$162
How this compares
$366,042 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| MyrbetriqMirabegron | 51 | $43,216 |
| GemtesaVibegron | 43 | $42,689 |
| Estradiol | 47 | $3,562 |
| Tolterodine Tartrate ErTolterodine Tartrate | 13 | $357 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 15 | $284 |
| ProgesteroneProgesterone, Micronized | 15 | $192 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 23 | $167 |
| Ibuprofen | 30 | $136 |
| Tamsulosin Hcl | 11 | $92 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $9,535 | $43,21651 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 95th percentile of 3,099 obstetrics & gynecology providers in Texas.
Other obstetrics & gynecology in El Paso
- Mario NutisEl Paso$69K
- Michiel NoeEl Paso$51K
- Devin GarzaAustin$2M
- Shawn TassoneAustin$1.3M
- Dale StovallDallas$590K
- Karyn-Anne CumberbatchMissouri City$452K
- Catherine HansenWebster$357K
- Lisa JukesBee Cave$270K
- Susan CrockettLive Oak$269K
- Henry Garza IiiSan Antonio$258K
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.