Celinda Guerra
Physician Assistant · San Antonio, TXNPI 1265550586
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 81 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 13.1% — the pattern of someone who eats at a lot of different presentations.
Across 81 payments — averaging $29.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$309
- Merck$192
- Novartis$158
- Novo Nordisk$153
- AstraZeneca$151
- Abiomed$150
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,363100%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 10 | $309 |
| Merck | 12 | $192 |
| Novartis | 7 | $158 |
| Novo Nordisk | 2 | $153 |
| AstraZeneca | 3 | $151 |
| Abiomed | 1 | $150 |
| Alnylam Pharmaceuticals Inc. | 2 | $143 |
| Boehringer Ingelheim | 2 | $141 |
| Amgen | 7 | $131 |
| E.r. Squibb & Sons, L.L.C. | 1 | $125 |
| GSK | 6 | $109 |
| Boston Scientific | 2 | $65 |
| Kaleo, Inc. | 2 | $57 |
| Grifols USA, LLC | 3 | $51 |
| Optinose US, Inc. | 2 | $45 |
| Pfizer | 2 | $44 |
| Sanofi | 2 | $43 |
| Johnson & Johnson | 2 | $38 |
| Inspire Medical Systems, Inc. | 1 | $34 |
| CSL Behring | 2 | $33 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $29 |
| Scpharmaceuticals Inc. | 1 | $28 |
| Bayer | 1 | $23 |
| Alk-abello, Inc | 1 | $23 |
| Biocryst US Sales Co., LLC | 1 | $22 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
| ADMA Biomanufacturing LLC | 1 | $17 |
| Aytu Biopharma, Inc. | 1 | $16 |
| Esperion Therapeutics, 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
$2,363 in reported general payments places this provider in the 75th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Rosuvastatin Calcium | 35 | $331 |
| Chlorthalidone | 15 | $243 |
| Amlodipine Besylate | 11 | $34 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Antonio
- Andrew PrattSan Antonio$87K
- Sarah MerrittSan Antonio$55K
- Monica ChapmanSan Antonio$38K
- Lisa GarrisonSan Antonio$35K
- Anthony DerenciusSan Antonio$34K
- Alhashmin MurjiSan Antonio$29K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.