Sonia Rebeles, MD
Gynecology · Fresno, CANPI 1881891026
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.6%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Exeltis, USA Inc. at 57.0% of the total. Reporting peaked in 2024 at $11,151 and has fallen 96.0% since, to $446 in 2025. Among gynecology clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 76 payments — averaging $210.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$9K
- Intuitive Surgical$5K
- Coloplast$882
- AbbVie$446
- Covidien LP$45
- Meditrina$42
- plus $233 from 10 others
What the payments were for
- Consulting fees$7,12545%
- Speaking & faculty fees$1,87512%
- Travel & lodging$4,33127%
- Food & beverage$1,62210%
- Education$1,0376%
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 |
|---|---|---|
| Exeltis, USA Inc. | 4 | $9,118 |
| Intuitive Surgical | 17 | $5,225 |
| Coloplast | 11 | $882 |
| AbbVie(2 entities) | 28 | $446 |
| Covidien LP | 1 | $45 |
| Meditrina | 2 | $42 |
| Therapeuticsmd, Inc. | 2 | $39 |
| Bayer | 2 | $32 |
| Boston Scientific | 1 | $30 |
| Lupin Inc. | 2 | $28 |
| Johnson & Johnson | 1 | $22 |
| AMAG Pharmaceuticals, Inc. | 1 | $19 |
| Astellas Pharma US Inc | 1 | $17 |
| Amgen | 1 | $16 |
| Duchesnay USA Incorporated | 1 | $16 |
| Millicent US Inc | 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.
- Slynd$9,108
- Da Vinci Surgical System$4,145
- DAVINCI XI$1,000
- ALTIS$775
How this compares
$15,990 in reported general payments places this provider in the 90th percentile of 247 gynecology providers in California.
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 |
|---|---|---|
| OsphenaOspemifene | 21 | $6,418 |
| Estradiol | 48 | $2,546 |
| Solifenacin Succinate | 11 | $1,020 |
| Estradiol (Twice Weekly)Estradiol | 11 | $706 |
| ProgesteroneProgesterone, Micronized | 15 | $588 |
| Triamcinolone Acetonide | 12 | $21 |
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 |
|---|---|---|
| Duchesnay USA IncorporatedOsphena | $16 | $6,41821 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 90th percentile of 247 gynecology providers in California.
Other gynecology in Fresno
- Camilla MarquezFresno$19K
- Cynthia BergmannFresno$10K
- Paul WhiteFresno$4K
- Ron LichtensteinFresno$3K
- Bruce LeeMonterey$2.8M
- Barbara Levyla Jolla$719K
- Samar NahasRiverside$132K
- Aarathi CholkeriEl Segundo$128K
- Kelly WrightLos Angeles$119K
- Naphthali AlinsodLaguna Beach$108K
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.