Rosa Rances
Adult Health · Houston, TXNPI 1902311038
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $12,997 of the $16,889 with a category attached, or 77.0%. It is spread thinly across 43 manufacturers, the largest accounting for just 12.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $5,757 and has fallen 60.8% since, to $2,258 in 2025. Among adult health 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 531 payments — averaging $31.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$2K
- AbbVie$2K
- Relievant Medsystems, Inc.$2K
- Boston Scientific$2K
- Biohaven Pharmaceuticals, Inc.$1K
- Tersera Therapeutics LLC$1K
- plus $6K from 37 others
What the payments were for
- Consulting fees$1,2007%
- Travel & lodging$2,45415%
- Food & beverage$12,99777%
- Education$2391%
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.
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.
- Intracept$6,285
- Evoke$1,967
- NURTEC ODT$1,323
- SPECTRA WAVEWRITER$747
- ReActiv8$495
- RAYOS$375
- SYNCHROMEDII$349
- Nalu Neurostimulation System$256
- PAINTEQ$176
- INTELLIS ADAPTIVESTIM$157
- GENERAL PAIN MANAGEMENT$148
- HA MINUTEMAN G3-R$126
- WaveWriter Alpha Prime 16$121
- PROCLAIM$116
- Dayvigo$108
How this compares
$16,889 in reported general payments places this provider in the 95th percentile of 933 adult health providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron Hcl | 35 | $255 |
Paid to pharmacies, not to this prescriber.
Other adult health in Houston
- Kacey LyonsHouston$20K
- Claressa RosacinaHouston$17K
- Michelle MartinHouston$15K
- Loren SemonesHouston$14K
- Anthony SantosHouston$13K
- Dashawn ThomasHouston$11K
- Zandra RiveraHouston$11K
- Brandy KhodrHouston$10K
- Janice TranHouston$10K
- Ester CerdanHouston$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.