Carlos Lira
Gerontology · Brownsville, TXNPI 1568925683
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 196 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Novo Nordisk at 31.0% of the total. Reporting peaked in 2021 at $1,711 and has fallen 53.8% since, to $791 in 2025. Among gerontology clinicians in TX 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 196 payments — averaging $31.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AstraZeneca$1K
- Lilly USA, LLC$989
- AbbVie$479
- Bayer$297
- GSK$253
- plus $914 from 16 others
What the payments were for
- Food & beverage$6,250100%
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 | 62 | $1,935 |
| AstraZeneca | 30 | $1,383 |
| Lilly USA, LLC | 46 | $989 |
| AbbVie | 19 | $479 |
| Bayer | 7 | $297 |
| GSK | 7 | $253 |
| Amgen | 2 | $147 |
| Antares Pharma, Inc. | 1 | $100 |
| Mylan Specialty L.p. | 1 | $99 |
| Abiomed | 1 | $96 |
| Intercept Pharmaceuticals, Inc. | 1 | $82 |
| E.r. Squibb & Sons, L.L.C. | 1 | $68 |
| Heartflow, Inc. | 1 | $64 |
| Amarin Pharma, Inc. | 4 | $59 |
| Exact Sciences | 2 | $38 |
| Genentech USA, Inc. | 4 | $33 |
| Pfizer | 2 | $31 |
| Dexcom, Inc. | 1 | $23 |
| Boehringer Ingelheim | 1 | $22 |
| Astellas Pharma US Inc | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $17 |
| Si-bone, Inc. | 1 | $16 |
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
$6,250 in reported general payments places this provider in the 90th percentile of 653 gerontology providers in Texas.
Other gerontology in Brownsville
- Kimberly WelchCoppell$113K
- Tiffany KesslerDallas$84K
- Jennifer WestFort Worth$67K
- Bailey EstesAbilene$34K
- Scott ZelaHouston$28K
- Marissa Marti-SmithDallas$27K
- Andrew BargerAustin$22K
- Meagan ChavarriaHouston$21K
- Samantha BoggsGalveston$15K
- Amber ArmstrongAustin$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.