Romeo Acosta, MD
Gynecology · St Petersburg, FLNPI 1891791562
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.2% of the total across 101 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 19.0% — the pattern of someone who eats at a lot of different presentations.
Across 101 payments — averaging $25.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$490
- Astellas Pharma US Inc$399
- Pfizer$214
- Daiichi Sankyo Inc.$187
- Gynesonics, Inc.$126
- Organon$116
- plus $1K from 24 others
What the payments were for
- Food & beverage$2,43394%
- Education$1496%
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 |
|---|---|---|
| AbbVie | 17 | $490 |
| Astellas Pharma US Inc | 14 | $399 |
| Pfizer | 7 | $214 |
| Daiichi Sankyo Inc. | 4 | $187 |
| Gynesonics, Inc. | 5 | $126 |
| Organon | 6 | $116 |
| Exeltis, USA Inc. | 5 | $113 |
| Aspira Women's Health Inc | 1 | $100 |
| Mayne Pharma Commercial LLC | 3 | $84 |
| Hologic Sales And Service, LLC | 4 | $83 |
| Evofem Biosciences, Inc. | 3 | $69 |
| Coopersurgical, Inc. | 3 | $59 |
| Bayer | 3 | $58 |
| Sumitomo Pharma America, Inc. | 3 | $54 |
| Shield Therapeutics Inc | 3 | $47 |
| Monaghan Medical Corporation | 1 | $46 |
| Myovant Sciences Inc. | 3 | $38 |
| Northgate Technologies, Inc. | 1 | $34 |
| Intuitive Surgical | 1 | $33 |
| Boston Scientific | 1 | $32 |
| Medtronic | 1 | $29 |
| Minerva Surgical, Inc | 2 | $29 |
| Agile Therapeutics, Inc. | 2 | $26 |
| Merck | 2 | $25 |
| Channel Medsystems, Inc. | 1 | $25 |
| Meditrina | 1 | $18 |
| Johnson & Johnson | 1 | $14 |
| Therapeuticsmd, Inc. | 1 | $13 |
| Avion Pharmaceuticals | 1 | $12 |
| Lupin 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.
- Orilissa$230
- INJECTAFER$125
How this compares
$2,583 in reported general payments places this provider in the 75th percentile of 290 gynecology providers in Florida.
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 |
|---|---|---|
| Estradiol | 65 | $986 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 32 | $570 |
| Medroxyprogesterone Acetate | 27 | $348 |
| Fluconazole | 41 | $245 |
| Metronidazole | 13 | $224 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 15 | $175 |
Paid to pharmacies, not to this prescriber.
Other gynecology in St Petersburg
- Meenakshi JainSt Petersburg$35K
- Aileen CaceresKissimmee$406K
- Parveen VahoraNew Port Richey$327K
- James KondrupVenice$310K
- Andrea GallowayThe Villages$252K
- Jessica VaughtOrlando$129K
- Steven ChavoustieMiami$113K
- Marshall BovelskyMelbourne$52K
- Minda NeimarkFt Lauderdale$46K
- Michael SpragueWeston$34K
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.