Roberto Cruz Saldana, MD
Neurology · McAllen, TXNPI 1285016899
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.8%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 40 manufacturers reported payments, led by EMD Serono, Inc. at 39.1% of the total. 2025 is the largest year on record at $208,458, more than ten times the $1,799 reported in 2019. Among neurology 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 756 payments — averaging $343.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$102K
- Amgen$40K
- AstraZeneca$39K
- TG Therapeutics, Inc.$36K
- Sanofi$10K
- E.r. Squibb & Sons, L.L.C.$9K
- plus $23K from 34 others
Across 25 payments — averaging $27,942 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.
- Novartis$673K
- EMD Serono, Inc.$25K
What the payments were for
- Consulting fees$64,94125%
- Speaking & faculty fees$144,75156%
- Travel & lodging$23,2039%
- Food & beverage$23,9859%
- Education$4030%
- Charitable contribution$2,0701%
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.
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.
How this compares
$259,352 in reported general payments places this provider in the 95th percentile of 1,246 neurology 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 |
|---|---|---|
| MavencladCladribine | 20 | $1,558,530 |
| Kesimpta PenOfatumumab | 142 | $1,245,419 |
| UltomirisRavulizumab-Cwvz | 11 | $695,989 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 44 | $533,257 |
| GammakedImmune Globul G/Gly/Iga Avg 46 | 11 | $215,672 |
| NuplazidPimavanserin Tartrate | 27 | $117,670 |
| CopaxoneGlatiramer Acetate | 19 | $112,993 |
| AmpyraDalfampridine | 12 | $50,061 |
| GlatopaGlatiramer Acetate | 23 | $45,840 |
| Dalfampridine ErDalfampridine | 46 | $37,096 |
| Nurtec OdtRimegepant Sulfate | 21 | $36,664 |
| AptiomEslicarbazepine Acetate | 16 | $24,584 |
| QuliptaAtogepant | 20 | $24,018 |
| Pyridostigmine Bromide ErPyridostigmine Bromide | 49 | $20,765 |
| UbrelvyUbrogepant | 13 | $18,919 |
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 |
|---|---|---|
| EMD Serono, Inc.Mavenclad | $101,514 | $1,558,53020 claims |
| AstraZenecaUltomiris | $39,350 | $695,98911 claims |
| Grifols USA, LLCGamunex-C | $32 | $533,25744 claims |
| Acadia Pharmaceuticals IncNuplazid | $36 | $117,67027 claims |
| Teva Pharmaceuticals USA, Inc.Copaxone | $26 | $112,99319 claims |
| AbbVieQulipta, Ubrelvy | $912 | $42,93733 claims |
| PfizerNurtec Odt | $205 | $36,66421 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 1,246 neurology providers in Texas.
Other neurology in McAllen
- Gloria SimmsMcAllen$234K
- Ann BassSan Antonio$1.7M
- William OndoHouston$1.4M
- Nirav PavasiaDallas$1.4M
- Mirla AvilaLubbock$1.3M
- Michael SoileauGeorgetown$1.2M
- Pankaj SatijaHouston$1.1M
- Annette HowardHouston$826K
- Benjamin GreenbergDallas$773K
- Annette OkaiPlano$730K
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.