RxDoctor Payments Data

Dina Rivera, MD

Endocrinology, Diabetes & Metabolism · San Antonio, TXNPI 1932384807

Payments from drug & device makers

$14,341in general payments, 2019–2025

Across 755 payments — averaging $18.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$2K
  • Novo Nordisk$2K
  • Amgen$1K
  • Lilly USA, LLC$977
  • AstraZeneca$847
  • Dexcom, Inc.$764
  • plus $7K from 45 others

What the payments were for

  • Food & beverage$14,335100%
  • Education$60%

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

$14,341 in reported general payments places this provider in the 65th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$160,208
Medicare patients
161
Services billed
8,464

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
MounjaroTirzepatide263$282,207
OzempicSemaglutide134$148,967
TrulicityDulaglutide38$50,572
Humalog Kwikpen U-200Insulin Lispro14$38,812
Tresiba Flextouch U-200Insulin Degludec36$36,977
TymlosAbaloparatide12$30,830
V-Go 20Sub-Q Insulin Device, 20 Unit52$26,022
Repatha SureclickEvolocumab22$22,734
JardianceEmpagliflozin16$22,030
FiaspInsulin Aspart (Niacinamide)14$14,738
V-Go 40Sub-Q Insulin Device, 40 Unit26$13,265
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog14$12,284
Xigduo XrDapaglifloz Propaned/Metformin11$11,599
FarxigaDapagliflozin Propanediol23$8,649
V-Go 30Sub-Q Insulin Device, 30 Unit17$8,523

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
Lilly USA, LLCMounjaro, Trulicity, Humalog$977$338,197323 claims
Novo NordiskOzempic, Fiasp, Rybelsus, Novolog$1,830$175,152171 claims
Radius Health, Inc.Tymlos$74$30,83012 claims
Boehringer IngelheimJardiance$557$22,03016 claims
AstraZenecaFarxiga$847$8,64923 claims
AbbVieSynthroid$315$1,58032 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$46$96099 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 65th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in San Antonio

See the full list for Texas

Where these figures come from

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