Carlos Fierro
General Practice · Kansas City, KSNPI 1235251331
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,038 of the $2,845 with a category attached, or 71.6%. Modernatx, Inc. accounts for 96.1% of it on its own, with 1 other manufacturer making up the rest. 2024 is the largest year on record at $1,499, more than ten times the $112 reported in 2019. Among general practice clinicians in KS 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 13 payments — averaging $218.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Modernatx, Inc.$3K
- Otsuka America Pharmaceutical, Inc.$112
Across 13,420 payments — averaging $5170.13 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.
- Modernatx, Inc.$49.1M
- Janssen Research & Development, LLC$6.7M
- GSK$6M
- Emergent Biosolutions Inc.$2.3M
- Bavarian Nordic A/s$1.6M
- Biontech SE$1.1M
- plus $2.4M from 7 others
What the payments were for
- Travel & lodging$2,03872%
- Food & beverage$80728%
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 |
|---|---|---|
| Modernatx, Inc. | 12 | $2,733 |
| Otsuka America Pharmaceutical, Inc. | 1 | $112 |
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.
- REXULTI$112
How this compares
$2,845 in reported general payments places this provider in the 90th percentile of 771 general practice providers in Kansas.
Other general practice in Kansas City
- Colleen NguyenKansas City$5K
- Travis RobertsKansas City$4K
- Anna JobeKansas City$3K
- Patrick LillisOverland Park$326K
- Douglas SchulzOverland Park$98K
- Grant SmithPrairie Village$28K
- David HodgsonWashington$18K
- John AdamsSalina$15K
- Ryan BucherOlathe$14K
- Stephen HuberLeawood$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.