Francesca Desire
Physician Assistant · San Antonio, TXNPI 1174269195
Payments from drug & device makers
Across 427 payments — averaging $23.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Johnson & Johnson$2K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$702
- Takeda Pharmaceuticals U.S.A., Inc.$662
- Lilly USA, LLC$548
- Pfizer$540
- plus $4K from 24 others
What the payments were for
- Food & beverage$10,04698%
- Education$2002%
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 | 115 | $2,521 |
| Johnson & Johnson | 63 | $1,584 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 48 | $702 |
| Takeda Pharmaceuticals U.S.A., Inc. | 34 | $662 |
| Lilly USA, LLC | 18 | $548 |
| Pfizer | 22 | $540 |
| Phathom Pharmaceuticals, Inc. | 13 | $521 |
| Ardelyx, Inc. | 11 | $501 |
| Janssen Scientific Affairs, LLC | 4 | $406 |
| Sanofi | 12 | $345 |
| Celltrion USA Inc. | 16 | $300 |
| Evoke Pharma, Inc. | 7 | $225 |
| Aimmune Therapeutics, Inc. | 7 | $202 |
| Bristol Myers Squibb | 14 | $184 |
| QOL Medical, LLC | 7 | $180 |
| Regeneron Healthcare Solutions, Inc. | 5 | $122 |
| E.r. Squibb & Sons, L.L.C. | 1 | $122 |
| Madrigal Pharmaceuticals | 6 | $106 |
| Organon | 4 | $93 |
| Nestle Healthcare Nutrition Inc. | 3 | $58 |
| Ironwood Pharmaceuticals, Inc | 3 | $58 |
| Shield Therapeutics Inc | 3 | $46 |
| Redhill Biopharma Inc. | 2 | $41 |
| Vivus LLC | 2 | $36 |
| Ipsen Biopharmaceuticals, Inc | 2 | $33 |
| Fresenius Kabi USA, LLC | 1 | $30 |
| Ferring Pharmaceuticals Inc. | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $21 |
| Novo Nordisk | 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
$10,246 in reported general payments places this provider in the 95th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| CreonLipase/Protease/Amylase | 15 | $49,462 |
| ZenpepLipase/Protease/Amylase | 13 | $40,589 |
| CholestyramineCholestyramine (With Sugar) | 16 | $745 |
| Omeprazole | 49 | $513 |
| Dicyclomine Hcl | 15 | $285 |
| Famotidine | 23 | $265 |
| Pantoprazole Sodium | 36 | $178 |
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 |
|---|---|---|
| AbbVieCreon | $2,521 | $49,46215 claims |
| Aimmune Therapeutics, Inc.Zenpep | $202 | $40,58913 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 95th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in San Antonio
- Anthony DerenciusSan Antonio$507K
- Andrew PrattSan Antonio$87K
- Sarah MerrittSan Antonio$55K
- Monica ChapmanSan Antonio$38K
- Lisa GarrisonSan Antonio$35K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.