Francisca Gushiken
Internal Medicine · San Antonio, TXNPI 1801061643
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 125 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Novo Nordisk at 34.0% of the total. Reporting peaked in 2021 at $830 and has fallen 96.0% since, to $34 in 2023.
Across 125 payments — averaging $16.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$702
- Amgen$170
- AstraZeneca$167
- Astellas Pharma US Inc$162
- Lilly USA, LLC$155
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$125
- plus $583 from 13 others
What the payments were for
- Food & beverage$2,064100%
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 |
|---|---|---|
| Novo Nordisk | 38 | $702 |
| Amgen(2 entities) | 11 | $170 |
| AstraZeneca(2 entities) | 11 | $167 |
| Astellas Pharma US Inc | 9 | $162 |
| Lilly USA, LLC | 10 | $155 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 9 | $125 |
| Sanofi-aventis U.S. LLC | 7 | $116 |
| Boehringer Ingelheim | 7 | $113 |
| Avanir Pharmaceuticals, Inc. | 5 | $81 |
| GSK | 5 | $75 |
| Merck | 3 | $42 |
| AbbVie | 2 | $39 |
| Esperion Therapeutics, Inc. | 2 | $26 |
| Bayer | 1 | $18 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Novartis | 1 | $15 |
| Dynavax Technologies Corporation | 1 | $14 |
| Otsuka America Pharmaceutical, Inc. | 1 | $13 |
| Amarin Pharma, Inc. | 1 | $13 |
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
$2,064 in reported general payments places this provider in the 80th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in San Antonio
- Manuel RodriguezSan Antonio$263K
- Matthew CatesSan Antonio$248K
- Fabian Rodas OchoaSan Antonio$68K
- Darius BuzenasSan Antonio$49K
- Spencer BerthelsenSugar Land$891K
- Hameed AliTemple$773K
- Marc TribbleDallas$693K
- Gary SinclairDallas$599K
- Mohammed Al-NajjarEl Paso$586K
- Han SchmidlyDallas$465K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.