Diedra Wuenschel, DO
Family Medicine · Gatesville, TXNPI 1902105471
Payments from drug & device makers
Across 284 payments — averaging $16.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$880
- Novo Nordisk$833
- Pfizer$551
- AstraZeneca$322
- Astellas Pharma US Inc$254
- Supernus Pharmaceuticals, Inc.$254
- plus $2K from 24 others
What the payments were for
- Food & beverage$4,687100%
- Education$70%
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 |
|---|---|---|
| AbbVie(2 entities) | 44 | $880 |
| Novo Nordisk | 56 | $833 |
| Pfizer | 46 | $551 |
| AstraZeneca | 11 | $322 |
| Astellas Pharma US Inc | 10 | $254 |
| Supernus Pharmaceuticals, Inc. | 11 | $254 |
| Lilly USA, LLC | 20 | $247 |
| Sanofi-aventis U.S. LLC | 13 | $199 |
| GSK | 12 | $128 |
| Sumitomo Pharma America, Inc. | 6 | $125 |
| Novartis | 8 | $115 |
| Biohaven Pharmaceuticals, Inc. | 5 | $89 |
| Merck | 6 | $80 |
| Si-bone, Inc. | 1 | $75 |
| Amgen | 4 | $54 |
| Otsuka America Pharmaceutical, Inc. | 3 | $49 |
| Sunovion Pharmaceuticals Inc. | 3 | $48 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $47 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $42 |
| Ultragenyx Pharmaceutical Inc. | 2 | $41 |
| Boehringer Ingelheim | 2 | $39 |
| Inspire Medical Systems, Inc. | 2 | $37 |
| Exact Sciences | 2 | $36 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $31 |
| Johnson & Johnson | 2 | $31 |
| Dexcom, Inc. | 2 | $30 |
| Idorsia Pharmaceuticals US Inc | 1 | $17 |
| Bayer | 1 | $15 |
| Xeris Pharmaceuticals, Inc. | 1 | $14 |
| Amarin Pharma, Inc. | 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
$4,694 in reported general payments places this provider in the 85th percentile of 8,760 family medicine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MounjaroTirzepatide | 137 | $147,600 |
| OzempicSemaglutide | 125 | $126,772 |
| EliquisApixaban | 201 | $96,640 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 72 | $55,015 |
| EntrestoSacubitril/Valsartan | 69 | $39,221 |
| Abilify MaintenaAripiprazole | 12 | $35,575 |
| JanuviaSitagliptin Phosphate | 71 | $34,091 |
| MyrbetriqMirabegron | 41 | $33,792 |
| XareltoRivaroxaban | 37 | $28,449 |
| JardianceEmpagliflozin | 65 | $25,036 |
| TrulicityDulaglutide | 25 | $22,588 |
| Breo ElliptaFluticasone/Vilanterol | 46 | $18,502 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 27 | $16,948 |
| RybelsusSemaglutide | 13 | $13,892 |
| LinzessLinaclotide | 24 | $13,501 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $247 | $170,187162 claims |
| Novo NordiskOzempic, Rybelsus, Wegovy | $833 | $154,055149 claims |
| PfizerEliquis | $551 | $96,640201 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Arexvy, Shingrix | $128 | $83,721157 claims |
| NovartisEntresto | $115 | $39,22169 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena | $49 | $35,57512 claims |
| MerckJanuvia | $80 | $34,09171 claims |
| Astellas Pharma US IncMyrbetriq | $254 | $33,79241 claims |
| Johnson & JohnsonXarelto | $31 | $28,44937 claims |
| AstraZenecaBreztri Aerosphere, Farxiga | $322 | $25,52443 claims |
| Boehringer IngelheimJardiance | $39 | $25,03665 claims |
| AbbVieLinzess | $880 | $13,50124 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 85th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Gatesville
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.