Roberto Hernandez Alejandro, MD
Transplant Surgery · Rochester, NYNPI 1184179210
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $516,382 of the $524,222 with a category attached, or 98.5%. Histosonics, Inc. accounts for 98.6% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $520,003, more than ten times the $1,101 reported in 2019. Among transplant surgery clinicians in NY 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 16 payments — averaging $32,764 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Histosonics, Inc.$517K
- Surgical Specialties Corporation (US), Inc. (dba Corza Medical)$5K
- Erbe Elektromedizin GmbH$2K
- Organ Recovery Systems, Inc.$453
- Olympus America Inc.$281
- Veloxis Pharmaceuticals, Inc.$50
- plus $24 from 1 others
Across 3 payments — averaging $32,302 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.
- Organ Recovery Systems, Inc.$97K
What the payments were for
- Consulting fees$516,38299%
- Speaking & faculty fees$1,8600%
- Travel & lodging$1,9170%
- Food & beverage$1,4420%
- Other$2,6210%
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 |
|---|---|---|
| Histosonics, Inc. | 5 | $516,927 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 2 | $4,628 |
| Erbe Elektromedizin GmbH | 2 | $1,860 |
| Organ Recovery Systems, Inc. | 2 | $453 |
| Olympus America Inc. | 3 | $281 |
| Veloxis Pharmaceuticals, Inc. | 1 | $50 |
| Gilead | 1 | $24 |
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
$524,222 in reported general payments places this provider in the 95th percentile of 72 transplant surgery providers in New York.
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.
Other transplant surgery in Rochester
- Koji TomiyamaRochester$36K
- Randeep KashyapRochester$13K
- Karen Pineda SolisRochester$7K
- Carlos MarroquinRochester$2K
- Tejinder SinghAlbany$513K
- Kishore IyerNew York$95K
- Jason HawksworthNew York$91K
- Parissa TabrizianNew York$74K
- Lloyd RatnerNew York$32K
- Hautien LiouNew York$31K
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.