Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ROBERTO F CASAL

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1619116167
CMS profile
1398680
Location
HOUSTON, TX

General Payments · PY2018–2024

$123,067.70

  • Reported across 204 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$20,718.44

28 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $13,409.39 20
Olympus Medical Systems Corporation $7,161.22 6
Siemens Medical Solutions USA, Inc. $89.75 1
Olympus America Inc. $58.08 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $32,077.60 68
PY2019 $34,891.42 55
PY2020 $2,954.65 7
PY2021 $7,683.23 14
PY2022 $2,523.80 8
PY2023 $22,218.56 24
PY2024 $20,718.44 28

Payment records · PY2024 (28)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
INTUITIVE SURGICAL, INC. $500.00 02/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137176205 CMS
INTUITIVE SURGICAL, INC. $500.00 02/23/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137265455 CMS
INTUITIVE SURGICAL, INC. $19.00 04/02/2024 Travel and Lodging Undisputed 01/23/2026 1137158457 CMS
INTUITIVE SURGICAL, INC. $575.07 04/02/2024 Travel and Lodging Undisputed 01/23/2026 1137296689 CMS
INTUITIVE SURGICAL, INC. $500.00 05/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137206001 CMS
INTUITIVE SURGICAL, INC. $34.60 05/14/2024 Gift Undisputed 01/23/2026 1137086731 CMS
INTUITIVE SURGICAL, INC. $85.96 05/15/2024 Food and Beverage Undisputed 01/23/2026 1137080143 CMS
INTUITIVE SURGICAL, INC. $59.32 05/16/2024 Food and Beverage Undisputed 01/23/2026 1137109993 CMS
INTUITIVE SURGICAL, INC. $163.50 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1137116310 CMS
INTUITIVE SURGICAL, INC. $245.45 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1137204540 CMS
INTUITIVE SURGICAL, INC. $557.58 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1137287577 CMS
INTUITIVE SURGICAL, INC. $500.00 06/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137108448 CMS
INTUITIVE SURGICAL, INC. $35.78 06/18/2024 Food and Beverage Undisputed 01/23/2026 1137127468 CMS
INTUITIVE SURGICAL, INC. $132.90 06/18/2024 Food and Beverage Undisputed 01/23/2026 1137255743 CMS
INTUITIVE SURGICAL, INC. $6,150.23 06/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137097871 CMS
INTUITIVE SURGICAL, INC. $500.00 08/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137282733 CMS
INTUITIVE SURGICAL, INC. $250.00 09/06/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137075492 CMS
INTUITIVE SURGICAL, INC. $600.00 10/30/2024 Education Undisputed 01/23/2026 1137104803 CMS
INTUITIVE SURGICAL, INC. $1,500.00 10/30/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137106924 CMS
INTUITIVE SURGICAL, INC. $500.00 11/06/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137081927 CMS
Olympus America Inc. $58.08 08/15/2024 Food and Beverage Undisputed 01/23/2026 1108475599 CMS
Olympus Medical Systems Corporation $38.92 01/16/2024 Travel and Lodging Undisputed 01/23/2026 1099611820 CMS
Olympus Medical Systems Corporation $40.95 01/16/2024 Travel and Lodging Undisputed 01/23/2026 1099611822 CMS
Olympus Medical Systems Corporation $41.35 01/16/2024 Food and Beverage Undisputed 01/23/2026 1099611824 CMS
Olympus Medical Systems Corporation $1,760.00 01/16/2024 Consulting Fee Undisputed 01/23/2026 1099611826 CMS
Olympus Medical Systems Corporation $1,760.00 01/16/2024 Consulting Fee Undisputed 01/23/2026 1099611828 CMS
Olympus Medical Systems Corporation $3,520.00 01/16/2024 Consulting Fee Undisputed 01/23/2026 1099611830 CMS
Siemens Medical Solutions USA, Inc. $89.75 09/30/2024 Food and Beverage Undisputed 01/23/2026 1093697060 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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