RxDoctor Payments Data

Cesar Delaguila, MD

Cardiovascular Disease · Nacogdoches, TXNPI 1225019136

Payments from drug & device makers

$4,274in general payments, 2019–2025

Across 166 payments — averaging $25.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biotronik Inc.$1K
  • Medtronic$975
  • AstraZeneca$340
  • Pfizer$288
  • E.r. Squibb & Sons, L.L.C.$199
  • Angiodynamics, Inc.$155
  • plus $850 from 12 others

What the payments were for

  • Travel & lodging$77018%
  • Food & beverage$2,86567%
  • Education$57213%
  • Other$662%

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

19
20
21
22
23
24
25

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.

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

$4,274 in reported general payments places this provider in the 50th percentile of 1,515 cardiovascular disease providers in Texas.

See all cardiovascular disease providers in Texas

Medicare billing

Part B allowed, 2024
$56,404
Medicare patients
299
Services billed
942

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

DrugClaimsCost to plans & patients
EliquisApixaban207$217,447
FarxigaDapagliflozin Propanediol129$135,550
EntrestoSacubitril/Valsartan105$111,862
JardianceEmpagliflozin93$69,405
XareltoRivaroxaban52$44,166
OzempicSemaglutide19$26,855
Metoprolol Succinate176$2,507
Ezetimibe55$2,187
Atorvastatin Calcium189$1,725
Clonidine13$1,721
Diltiazem 24hr Er (Cd)Diltiazem Hcl53$1,441
Losartan Potassium95$1,149
Flecainide Acetate29$1,109
Lisinopril128$918
Warfarin Sodium221$804

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$288$217,447207 claims
AstraZenecaFarxiga$340$135,550129 claims
NovartisEntresto$68$111,862105 claims
Boehringer IngelheimJardiance$111$69,40593 claims
Johnson & JohnsonXarelto$151$44,16652 claims
Novo NordiskOzempic$16$26,85519 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 50th percentile of 1,515 cardiovascular disease providers in Texas.

Other cardiovascular disease in Nacogdoches

See the full list for Texas

Where these figures come from

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