Cynthia Apodaca
Family · Round Rock, TXNPI 1285010470
Payments from drug & device makers
Across 268 payments — averaging $47.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$9K
- Novartis$988
- AstraZeneca$579
- Boehringer Ingelheim$509
- Merck$492
- Scpharmaceuticals Inc.$277
- plus $1K from 16 others
What the payments were for
- Travel & lodging$5,90647%
- Food & beverage$6,65253%
- Education$140%
- Gifts$751%
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 |
|---|---|---|
| Penumbra, Inc. | 33 | $8,519 |
| Novartis | 80 | $988 |
| AstraZeneca | 32 | $579 |
| Boehringer Ingelheim | 29 | $509 |
| Merck | 27 | $492 |
| Scpharmaceuticals Inc. | 13 | $277 |
| E.r. Squibb & Sons, L.L.C. | 12 | $238 |
| Pfizer | 12 | $184 |
| Cardiovascular Systems Inc. | 1 | $147 |
| Novo Nordisk | 5 | $120 |
| Johnson & Johnson | 6 | $92 |
| Chiesi USA, Inc. | 2 | $92 |
| Impulse Dynamics (USA) Inc. | 1 | $91 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $88 |
| Amgen | 2 | $51 |
| Actelion Pharmaceuticals US, Inc. | 1 | $35 |
| Abiomed | 1 | $33 |
| Bayer | 2 | $31 |
| Cordis US CORP. | 1 | $23 |
| Cycle Pharmaceuticals Inc | 1 | $20 |
| Lexicon Pharmaceuticals, Inc. | 1 | $19 |
| Esperion Therapeutics, Inc. | 1 | $19 |
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.
- Indigo System$7,537
- Penumbra System$383
- Diamondback Coronary$147
- FUROSCIX$115
How this compares
$12,647 in reported general payments places this provider in the 95th percentile of 15,456 family providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EntrestoSacubitril/Valsartan | 257 | $379,370 |
| FarxigaDapagliflozin Propanediol | 109 | $139,072 |
| EliquisApixaban | 50 | $65,682 |
| JardianceEmpagliflozin | 34 | $48,328 |
| BrilintaTicagrelor | 18 | $19,414 |
| Metoprolol Succinate | 177 | $1,775 |
| Flecainide Acetate | 12 | $1,011 |
| Midodrine Hcl | 13 | $714 |
| Torsemide | 16 | $274 |
| Losartan Potassium | 42 | $268 |
| Hydralazine Hcl | 17 | $256 |
| Lisinopril | 32 | $234 |
| Amlodipine Besylate | 47 | $137 |
| Carvedilol | 25 | $134 |
| Spironolactone | 17 | $92 |
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 |
|---|---|---|
| NovartisEntresto | $988 | $379,370257 claims |
| AstraZenecaFarxiga, Brilinta | $579 | $158,486127 claims |
| PfizerEliquis | $184 | $65,68250 claims |
| Boehringer IngelheimJardiance | $509 | $48,32834 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 95th percentile of 15,456 family providers in Texas.
Other family in Round Rock
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.