Valentin Almendarez, MD
Obstetrics & Gynecology · San Antonio, TXNPI 1326037615
Payments from drug & device makers
Across 487 payments — averaging $1487.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$276K
- AbbVie$233K
- Intuitive Surgical$183K
- Meditrina$27K
- Alliance Partners LLC$5K
- Merck$500
- plus $497 from 8 others
What the payments were for
- Consulting fees$27,10013%
- Speaking & faculty fees$5000%
- Travel & lodging$24,53011%
- Food & beverage$14,4147%
- Education$148,00069%
- Gifts$400%
- Entertainment$5800%
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. | 92 | $275,691 |
| AbbVie(2 entities) | 117 | $233,164 |
| Intuitive Surgical | 243 | $182,693 |
| Meditrina | 5 | $27,100 |
| Alliance Partners LLC | 17 | $4,623 |
| Merck | 1 | $500 |
| Gynesonics, Inc. | 5 | $381 |
| Caldera Medical, Inc | 1 | $26 |
| Acessa Health Inc. | 1 | $18 |
| Boston Scientific | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Pfizer | 1 | $16 |
| Covidien LP | 1 | $14 |
| Allotrope Medical, Inc | 1 | $7 |
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.
- Da Vinci Surgical System$180,628
- aveta$10,000
- Aveta System$5,000
- NAKOMA CERVICAL SYSTEM$3,849
- Swannshidi$2,700
- SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM$270
- Orilissa$115
How this compares
$724,268 in reported general payments places this provider in the 95th percentile of 3,099 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 39 | $1,058 |
| Medroxyprogesterone Acetate | 20 | $431 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $257 |
| Oxybutynin Chloride ErOxybutynin Chloride | 29 | $243 |
| Norethindrone-E.Estradiol-Iron | 11 | $102 |
| Ibuprofen | 26 | $101 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in San Antonio
- Parke HedgesSan Antonio$4.2M
- Tolulope OsowoSan Antonio$275K
- Henry Garza IiiSan Antonio$258K
- Camilo GonimaSan Antonio$203K
- Amir JazaeriHouston$19.5M
- Shannon WestinHouston$17.3M
- Monica LopezFort Worth$8.1M
- Cynthia RobbinsFort Worth$7.8M
- John Paul RobertsPlano$4.9M
- Stephen StamatisWeatherford$4.5M
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.