Fernando Membreno, MD
Transplant Hepatology · McAllen, TXNPI 1942233929
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $208,219 of the $257,874 with a category attached, or 80.7%. 16 manufacturers reported payments, led by Gilead at 58.8% of the total. 2025 is the largest year on record at $115,709, 3.0 times the $38,857 reported in 2019. Among transplant hepatology 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 314 payments — averaging $821.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$152K
- Madrigal Pharmaceuticals$68K
- Ipsen Biopharmaceuticals, Inc$37K
- Mallinckrodt Hospital Products Inc.$380
- Melinta Therapeutics, LLC$264
- Exact Sciences$252
- plus $890 from 10 others
Across 28 payments — averaging $17,067 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.
- Genentech, Inc.$413K
- Madrigal Pharmaceuticals$34K
- Corcept Therapeutics$27K
- E.r. Squibb & Sons, L.L.C.$4K
What the payments were for
- Consulting fees$7,3603%
- Speaking & faculty fees$208,21981%
- Travel & lodging$32,94813%
- Food & beverage$9,3474%
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 |
|---|---|---|
| Gilead | 180 | $151,537 |
| Madrigal Pharmaceuticals | 59 | $67,708 |
| Ipsen Biopharmaceuticals, Inc | 43 | $36,842 |
| Mallinckrodt Hospital Products Inc. | 8 | $380 |
| Melinta Therapeutics, LLC | 4 | $264 |
| Exact Sciences | 3 | $252 |
| AstraZeneca | 4 | $246 |
| Boston Scientific | 3 | $186 |
| Dova Pharmaceuticals | 1 | $114 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $100 |
| Boehringer Ingelheim | 1 | $80 |
| Fujifilm Healthcare Americas Corporation | 2 | $58 |
| Novo Nordisk | 2 | $41 |
| AbbVie | 1 | $28 |
| Medtronic | 1 | $21 |
| Intercept Pharmaceuticals, Inc. | 1 | $17 |
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
$257,874 in reported general payments places this provider in the 90th percentile of 28 transplant hepatology 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 |
|---|---|---|
| Ursodiol | 16 | $1,651 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 12 | $321 |
| Spironolactone | 25 | $205 |
| Furosemide | 15 | $46 |
| Carvedilol | 14 | $19 |
Paid to pharmacies, not to this prescriber.
Other transplant hepatology in McAllen
- Abdullah MubarakTyler$362K
- Stevan GonzalezFort Worth$282K
- David VictorHouston$249K
- Prasun JalalHouston$247K
- Carmen LandaverdeSan Antonio$189K
- Hector NazarioDallas$161K
- Ashwini MehtaDallas$100K
- Mangesh PagadalaDallas$84K
- Madhavi RudrarajuSan Antonio$41K
- Kavish PatidarHouston$22K
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.