Roberto Robles, MD
Cardiovascular Disease · Brownsville, TXNPI 1588659890
Payments from drug & device makers
Across 193 payments — averaging $23.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$787
- Amarin Pharma, Inc.$627
- Merck$372
- GE HealthCare$339
- Bard Peripheral Vascular, Inc.$328
- Medtronic$291
- plus $2K from 21 others
What the payments were for
- Food & beverage$4,38497%
- Education$1163%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 51 | $787 |
| Amarin Pharma, Inc. | 44 | $627 |
| Merck | 17 | $372 |
| GE HealthCare | 4 | $339 |
| Bard Peripheral Vascular, Inc. | 4 | $328 |
| Medtronic | 2 | $291 |
| Novartis | 13 | $258 |
| Pfizer | 13 | $181 |
| AstraZeneca | 5 | $171 |
| Biotronik Inc. | 2 | $160 |
| Lilly USA, LLC | 4 | $146 |
| Boston Scientific | 2 | $143 |
| Boehringer Ingelheim | 7 | $135 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $112 |
| Astellas Pharma US Inc | 1 | $100 |
| Amgen | 5 | $65 |
| Sanofi-aventis U.S. LLC | 3 | $60 |
| Novo Nordisk | 2 | $35 |
| GSK | 1 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $29 |
| Gilead | 2 | $28 |
| Mannkind Corporation | 1 | $22 |
| Bayer | 1 | $19 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Exact Sciences | 1 | $15 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $13 |
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.
- KYPHON EXPRESS II KYPHOPAK TRAY$148
- INTELLIS ADAPTIVESTIM$143
- CROSSER$132
- LUTONIX$131
- GENERAL VASCULAR INTERVENTION$125
- ZEPBOUND$115
- PAMIRA$112
- Solia$112
- XARELTO$111
- FARXIGA$109
- ENTRESTO$101
How this compares
$4,501 in reported general payments places this provider in the 50th percentile of 1,515 cardiovascular disease 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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 155 | $184,457 |
| XareltoRivaroxaban | 156 | $183,531 |
| EliquisApixaban | 136 | $150,374 |
| JardianceEmpagliflozin | 39 | $45,216 |
| FarxigaDapagliflozin Propanediol | 41 | $42,690 |
| ProliaDenosumab | 21 | $34,567 |
| VerquvoVericiguat | 17 | $26,093 |
| VascepaIcosapent Ethyl | 29 | $14,333 |
| Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide | 503 | $14,125 |
| Clonidine | 45 | $9,094 |
| Icosapent Ethyl | 23 | $8,240 |
| BrilintaTicagrelor | 13 | $6,420 |
| Spiriva RespimatTiotropium Bromide | 12 | $5,755 |
| Carvedilol | 586 | $4,311 |
| Olmesartan-Amlodipine-HctzOlmesartan/Amlodipin/Hcthiazid | 24 | $4,057 |
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 |
|---|---|---|
| NovartisEntresto | $258 | $184,457155 claims |
| Johnson & JohnsonXarelto | $787 | $183,531156 claims |
| PfizerEliquis | $181 | $150,374136 claims |
| AstraZenecaFarxiga, Brilinta, Symbicort | $171 | $51,54665 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $135 | $50,97151 claims |
| AmgenProlia | $65 | $34,56721 claims |
| MerckVerquvo | $372 | $26,09317 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 50th percentile of 1,515 cardiovascular disease providers in Texas.
Other cardiovascular disease in Brownsville
- Ramin Farzaneh-FarDallas$17.1M
- Jeffrey GladdenDallas$15.8M
- Ann NavarDallas$14.5M
- David BrabhamAmarillo$11.5M
- Justin GrodinDallas$6.2M
- Christie BallantyneHouston$4.6M
- Syed NaqviHouston$3.6M
- Faisal WahidMcKinney$3.4M
- James FeldmanHouston$3.1M
- Fernando BoccalandroOdessa$3M
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.