Alfredo Gonzalez, MD
Family Medicine · Pharr, TXNPI 1376593905
Payments from drug & device makers
Across 302 payments — averaging $14.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$883
- Lilly USA, LLC$662
- AstraZeneca$399
- Calliditas Therapeutics US Inc.$291
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$272
- Astellas Pharma US Inc$246
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,40698%
- Education$1032%
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 |
|---|---|---|
| Novo Nordisk | 51 | $883 |
| Lilly USA, LLC | 66 | $662 |
| AstraZeneca | 25 | $399 |
| Calliditas Therapeutics US Inc. | 12 | $291 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 22 | $272 |
| Astellas Pharma US Inc | 13 | $246 |
| Bayer | 19 | $245 |
| Kowa Pharmaceuticals America, Inc. | 19 | $244 |
| Pfizer | 22 | $225 |
| AbbVie(2 entities) | 9 | $163 |
| Sanofi-aventis U.S. LLC | 7 | $135 |
| MDD US Operations, LLC | 1 | $107 |
| Boehringer Ingelheim | 5 | $99 |
| Merck | 6 | $81 |
| Abbott | 4 | $75 |
| Johnson & Johnson | 4 | $66 |
| Lexicon Pharmaceuticals, Inc. | 2 | $52 |
| GSK | 3 | $47 |
| Amgen | 2 | $34 |
| Otsuka America Pharmaceutical, Inc. | 1 | $30 |
| Novartis | 2 | $28 |
| Exact Sciences | 1 | $22 |
| Sumitomo Pharma America, Inc. | 1 | $20 |
| Dexcom, Inc. | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $19 |
| Phathom Pharmaceuticals, Inc. | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Cranial Technologies, Inc | 1 | $14 |
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.
How this compares
$4,509 in reported general payments places this provider in the 85th percentile of 8,760 family 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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 266 | $287,411 |
| OzempicSemaglutide | 195 | $284,190 |
| JardianceEmpagliflozin | 201 | $275,282 |
| FarxigaDapagliflozin Propanediol | 162 | $179,108 |
| MounjaroTirzepatide | 102 | $167,025 |
| TrulicityDulaglutide | 65 | $109,216 |
| MyrbetriqMirabegron | 110 | $105,173 |
| EliquisApixaban | 75 | $103,263 |
| LinzessLinaclotide | 60 | $61,697 |
| KerendiaFinerenone | 49 | $60,063 |
| JanumetSitagliptin Phos/Metformin Hcl | 44 | $51,085 |
| EntrestoSacubitril/Valsartan | 33 | $50,149 |
| XareltoRivaroxaban | 28 | $45,309 |
| Tresiba Flextouch U-100Insulin Degludec | 68 | $36,153 |
| TradjentaLinagliptin | 21 | $29,472 |
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 |
|---|---|---|
| MerckJanuvia, Janumet | $81 | $338,496310 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr | $99 | $311,647234 claims |
| Novo NordiskOzempic, Rybelsus | $883 | $305,028209 claims |
| Lilly USA, LLCMounjaro, Trulicity | $662 | $276,241167 claims |
| AstraZenecaFarxiga | $399 | $179,108162 claims |
| Astellas Pharma US IncMyrbetriq | $246 | $105,173110 claims |
| PfizerEliquis | $225 | $103,26375 claims |
| AbbVieLinzess | $163 | $61,69760 claims |
| BayerKerendia | $245 | $60,06349 claims |
| NovartisEntresto | $28 | $50,14933 claims |
| Johnson & JohnsonXarelto | $66 | $45,30928 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $244 | $24,16328 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 85th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Pharr
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.