Fadel Ruiz
Pediatric Pulmonology · Houston, TXNPI 1043240500
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.1%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Vertex accounts for 93.5% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $10,755, more than ten times the $454 reported in 2019. Among pediatric pulmonology clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 52 payments — averaging $320.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vertex$16K
- Gilead$348
- Digestive Care, Inc.$294
- Chiesi USA, Inc.$135
- Insmed, Inc.$121
- Mylan Specialty L.p.$94
- plus $97 from 5 others
Across 42 payments — averaging $24,017 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vertex$917K
- Janssen Research & Development, LLC$84K
- Eli Lilly$5K
- AbbVie$2K
- Vivus LLC$495
What the payments were for
- Consulting fees$4,95030%
- Speaking & faculty fees$8,69852%
- Travel & lodging$1,3058%
- Food & beverage$1,70310%
- Education$250%
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 |
|---|---|---|
| Vertex | 25 | $15,592 |
| Gilead | 12 | $348 |
| Digestive Care, Inc. | 1 | $294 |
| Chiesi USA, Inc. | 3 | $135 |
| Insmed, Inc. | 1 | $121 |
| Mylan Specialty L.p. | 5 | $94 |
| Alcresta Therapeutics, Inc. | 1 | $27 |
| Baxter Healthcare | 1 | $20 |
| Viatris Specialty LLC | 1 | $20 |
| Sandoz | 1 | $18 |
| Nestle Healthcare Nutrition 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
$16,681 in reported general payments places this provider in the 90th percentile of 104 pediatric pulmonology providers in Texas.
Other pediatric pulmonology in Houston
- Sarat SusarlaHouston$194K
- Peter HiattHouston$16K
- Joseph RosenHouston$2K
- Aravind YadavHouston$2K
- Thomas IsaacsHouston$2K
- Michael McDowellHouston$1K
- Ricardo MosqueraHouston$1K
- Amee RevanaHouston$1K
- Kevin KaplanHouston$1K
- Binal KancherlaHouston$1K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.