Wilson Almonte, MD
Interventional Pain Medicine · Victoria, TXNPI 1255566642
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,604 of the $8,378 with a category attached, or 78.8%. 23 manufacturers reported payments, led by Medtronic at 38.1% of the total. Reporting peaked in 2024 at $2,336 and has fallen 87.0% since, to $303 in 2025.
Across 280 payments — averaging $29.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Saluda Medical Americas, Inc.$2K
- Abbott$777
- Nevro Corp.$390
- Boston Scientific$370
- Nalu Medical, Inc.$345
- plus $1K from 17 others
Across 8 payments — averaging $910.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Saluda Medical Americas, Inc.$6K
- Medtronic$1K
What the payments were for
- Travel & lodging$1,77421%
- Food & beverage$6,60479%
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 |
|---|---|---|
| Medtronic(3 entities) | 140 | $3,193 |
| Saluda Medical Americas, Inc. | 13 | $2,035 |
| Abbott | 24 | $777 |
| Nevro Corp. | 6 | $390 |
| Boston Scientific | 12 | $370 |
| Nalu Medical, Inc. | 15 | $345 |
| Vertiflex, Inc. | 11 | $283 |
| Painteq LLC | 6 | $272 |
| Pfizer | 26 | $186 |
| Vertos Medical, Inc. | 5 | $78 |
| Curonix LLC | 3 | $68 |
| Amgen | 4 | $67 |
| Stimwave Technologies Incorporated | 3 | $58 |
| Tersera Therapeutics LLC | 2 | $58 |
| Covidien LP | 1 | $54 |
| Fidia Pharma USA Inc. | 2 | $26 |
| Bioventus LLC | 1 | $25 |
| Epimed International, Inc | 1 | $20 |
| Spinal Simplicity, LLC | 1 | $19 |
| Collegium Pharmaceutical, Inc. | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Sentynl Therapeutics, 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.
- Evoke$1,731
- Proclaim Family of SCS IPGs$401
- INTELLIS ADAPTIVESTIM$338
- RESTORE$246
- Omnia$180
- PAINTEQ$164
- AUTOFILL$142
- Superion ISS$119
- Nalu Neurostimulation System$111
- Senza Spinal Cord Stimulation System$105
How this compares
$8,378 in reported general payments places this provider in the 55th percentile of 287 interventional pain medicine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 667 | $17,805 |
| Buprenorphine | 43 | $9,023 |
| Gabapentin | 266 | $3,911 |
| Pregabalin | 143 | $3,886 |
| Tizanidine Hcl | 146 | $2,590 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 80 | $1,865 |
| Cyclobenzaprine Hcl | 147 | $1,773 |
| Baclofen | 87 | $1,565 |
| Tramadol Hcl | 151 | $1,447 |
| Methocarbamol | 67 | $1,240 |
| Methadone Hcl | 41 | $672 |
| Celecoxib | 32 | $640 |
| Amitriptyline Hcl | 27 | $631 |
| Oxycodone Hcl | 27 | $539 |
| Duloxetine Hcl | 37 | $495 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Victoria
- Umar MahmoodVictoria$60K
- Gabor RaczLubbock$3M
- Pankaj MehtaKilleen$2.1M
- Chad StephensSouthlake$1M
- Ankur KhoslaShenandoah$277K
- Brian RichDecatur$245K
- Brian BruelHouston$219K
- Bolkar SahinlerLubbock$188K
- Timothy RatinoFort Worth$139K
- Genaro GutierrezAustin$125K
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.