Darlene Metter, MD
Diagnostic Radiology · San Antonio, TXNPI 1851303770
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.2% of the total across 12 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 11 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $339 and has fallen 69.6% since, to $103 in 2025.
Across 12 payments — averaging $61.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jubilant Draximage Inc.$135
- Advanced Accelerator Applications$110
- GE HealthCare$97
- Blue Earth Diagnostics$95
- Pfizer$58
- Telix Pharmaceuticals$57
- plus $190 from 5 others
What the payments were for
- Travel & lodging$517%
- Food & beverage$69193%
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 |
|---|---|---|
| Jubilant Draximage Inc. | 1 | $135 |
| Advanced Accelerator Applications | 1 | $110 |
| GE HealthCare | 2 | $97 |
| Blue Earth Diagnostics | 1 | $95 |
| Pfizer | 1 | $58 |
| Telix Pharmaceuticals | 1 | $57 |
| Novartis | 1 | $56 |
| Siemens Medical Solutions USA, Inc. | 1 | $51 |
| Progenics Pharmaceuticals, Inc. | 1 | $46 |
| Johnson & Johnson | 1 | $26 |
| Boston Scientific | 1 | $12 |
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
$742 in reported general payments places this provider in the 80th percentile of 2,506 diagnostic radiology providers in Texas.
Medicare billing
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.
Other diagnostic radiology in San Antonio
- Anthony StavrosSan Antonio$465K
- Michael MiddlebrookSan Antonio$44K
- Carlos RestrepoSan Antonio$38K
- Juan GutierrezSan Antonio$37K
- Michael LaneSan Antonio$17K
- Todd TibbettsSan Antonio$15K
- Rajeev SuriSan Antonio$15K
- Harlan HarveyHouston$583K
- Steven RoweDallas$407K
- Alexandru BageacFort Worth$339K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.